OrganizationActive
All-Stat Portable Mo LLC
NPI 1073476461 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Poplar Bluff, MO
Provider details
- NPI number
- 1073476461
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Parent organization
- All-Stat Portable LLC
- Organization subpart
- Yes
- Authorized official
- Etai Sooliman, Ceo(227) 337-1000
Specialties & taxonomies
Suppliers
Practice location
702 W Pine St
Poplar Bluff, MO 63901-5045
Phone: (224) 337-1000
Approximate (ZIP-level) locationGet directions
Mailing address
8235 Christiana Ave
Skokie, IL 60076-2910
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.