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CAVALIER MOBILE XRAY CO NPI 1417002692


NPI Information

NPI: 1417002692
Provider Name: CAVALIER MOBILE XRAY CO

Doing Business As: ALL-STAT PORTABLE OH

Classification: Radiologic Technologist - 2471S1302X
Entity Type: Organization

Specialization: Sonography

Address:
590 E WESTERN RESERVE RD
UNIT 10D
YOUNGSTOWN, OH
ZIP 44514
Phone: (330) 726-0202
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CAVALIER MOBILE XRAY CO is a sonography radiologic technologist in Youngstown, OH. The provider is a radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care. CAVALIER MOBILE XRAY CO NPI is 1417002692. The provider is registered as an organization entity type.
The provider Is Doing Business As All-stat Portable Oh.

The provider's business location address is:

590 E WESTERN RESERVE RD
UNIT 10D
YOUNGSTOWN, OH
ZIP 44514-354
Phone: (330) 726-0202
Fax: (330) 726-0270

The provider's authorized official is Etai Sooliman .
The authorized official title is Ceo and has the following contact phone number (224) 337-1199.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 2/23/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo
22471S1302XRadiologic TechnologistSonographyR2377049OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10783728MEDICAIDOHIO

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

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