ALL-STAT PORTABLE IN LLC NPI 1295348076

NPI Information

NPI: 1295348076
Provider Name: ALL-STAT PORTABLE IN LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
3201 STELLHORN RD STE A129
FORT WAYNE, IN
ZIP 46815
Phone: (224) 337-1401
Get Directions

ALL-STAT PORTABLE IN LLC is a radiology and mobile clinic center in Fort Wayne, IN. ALL-STAT PORTABLE IN LLC NPI is 1295348076. The provider is registered as an organization entity type.

The provider's business location address is:

3201 STELLHORN RD STE A129
FORT WAYNE, IN
ZIP 46815-697
Phone: (224) 337-1401
Fax: (224) 337-0401

The provider's authorized official is Etai Sooliman .
The authorized official title is Ceo and has the following contact phone number (224) 337-1401.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 2/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »