OrganizationActive
All-Stat Portable Wi, LLC
NPI 1801420823 · Mobile Radiology Clinic/Center · Greenfield, WI
Provider details
- NPI number
- 1801420823
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- All-Stat Portable, LLC
- Organization subpart
- Yes
- Authorized official
- Etai Sooliman, Ceo(224) 337-1199
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Practice location
4811 S 76th St # 405
Greenfield, WI 53220-4364
Phone: (224) 337-0073
Fax: (224) 337-0074
Approximate (ZIP-level) locationGet directions
Mailing address
8235 Christiana Ave
Skokie, IL 60076-2910
Registry dates
- Enumerated
- 2020-02-28
- Last updated
- 2021-08-26
- Certified
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.