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).

  • Organization
  • Portable X-ray and/or Other Portable Dia...

About ALL-STAT PORTABLE MO LLC

This page provides the complete NPI Profile along with additional information for All-stat Portable Mo Llc, a provider established in Poplar Bluff, Missouri operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1073476461 assigned on December 2025. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Etai Sooliman (Ceo)

NPI
1073476461 Verify this NPI
Provider Name
ALL-STAT PORTABLE MO LLC
Entity Type
Organization
Location Address
702 W PINE ST POPLAR BLUFF, MO 63901
Location Phone
(224) 337-1000
Mailing Address
8235 CHRISTIANA AVE SKOKIE, IL 60076
Mailing Phone
(224) 337-1000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-03-2025
Last Update Date
03-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ETAI SOOLIMAN

Authorized Official Title
CEO
Authorized Official Phone
(227) 337-1000

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Other Providers at the Same Location


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

Clinic/Center (Radiology, Mobile)
702 W PINE ST
POPLAR BLUFF, MO 63901

Frequently Asked Questions

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

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

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