OrganizationActive
All-Stat Portable in LLC
NPI 1720545296 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Fort Wayne, IN
Provider details
- NPI number
- 1720545296
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Parent organization
- All-Stat Portable, LLC
- Authorized official
- Etai Sooliman, Ceo
Practice location
3201 Stellhorn Rd Ste A129
Fort Wayne, IN 46815-4697
Phone: (224) 337-1401
Fax: (224) 337-0401
Mailing address
8235 Christiana Ave
Skokie, IL 60076-2910
Registry dates
- Enumerated
- 2019-02-21
- Last updated
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.