ALL-STAT PORTABLE MO LLC
NPI 1073476461
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Poplar Bluff, MO
- 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
- Code Navigator
Location Map
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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
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.
