NPI 1023642204
All-Stat Portable Wi, LLC
Practice location
- Address
- 4811 S 76th St # 405, Greenfield, WI 53220-4364
- Phone
- (224) 337-0073
- Fax
- (224) 337-0074
- Mailing address
- 8235 Christiana Ave, Skokie, IL 60076-2910
Authorised official
- Name
- Etai Sooliman
- Title
- Ceo
- Phone
- (224) 337-1199
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1023642204
- Entity type
- Organization
- NPI issued
- 27 Feb 2020
- Record last updated
- 26 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.