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ALL-STAT PORTABLE MO LLC
NPI 1073476461
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Poplar Bluff, MO

Active since December 03, 2025
702 W PINE ST, POPLAR BLUFF, MO 63901(224) 337-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2026, Dec 3, 2025 (2 updates tracked since 2025).

About All-stat Portable Mo Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALL-STAT PORTABLE MO LLC (NPI 1073476461) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Poplar Bluff, Missouri and active in the NPI registry since December 2025. The organization lists Etai Sooliman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073476461
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameALL-STAT PORTABLE MO LLC
Location Address702 W PINE STPoplar Bluff, MO 63901-5045
Mailing Address8235 Christiana AveSkokie, IL 60076-2910 · (224) 337-1000
Phone(224) 337-1000
Organization SubpartYesParent: All-stat Portable Llc
Authorized OfficialEtai SoolimanCeo · (227) 337-1000
Enumeration DateDecember 3, 2025
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1073476461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
Taxonomy Code335V00000X
Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

702 W PINE ST, Poplar Bluff, MO 63901
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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

ALL-STAT PORTABLE MO LLC
Clinic/Center (Radiology, Mobile)
702 W PINE ST
POPLAR BLUFF, MO 63901
Butler County (224) 337-1000

Frequently Asked Questions

What is ALL-STAT PORTABLE MO LLC's NPI number?

The NPI number assigned to this healthcare provider is 1073476461, enumerated as an "organization" on December 03, 2025.

Where is the provider located?

The provider is located at 702 W PINE ST POPLAR BLUFF, MO 63901 and the phone number is (224) 337-1000.

What is the provider's specialty?

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.