ALL-STAT PORTABLE IN, LLC (NPI# 1295348076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295348076 |
| Entity Type | Organization |
| Organization Name | ALL-STAT PORTABLE IN, LLC |
| Practice Address |
3458 Stellhorn Rd Ste B Fort Wayne IN 46815-4630 |
| Mailing Address |
8235 Christiana Ave Skokie IL 60076-2910 |
| Practice Telephone | 2243371401 |
| Practice Fax Number | 2243370401 |
| Mailing Telephone | 2243371000 |
| Mailing Fax Number | 2243370100 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | MR. ETAI SOOLIMAN (CEO) |
| Authorized Official Telephone | 2243371401 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALL-STAT PORTABLE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545296 | All-stat Portable In, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2019-02-21 |
| Street Address |
3458 STELLHORN RD STE B |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545296 | All-stat Portable In, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275945925 | Radiology Medical Consultants of Indiana | Clinic/Center | 250 E Carmel Dr, Carmel, IN 46032-2635 | 2014-05-29 |
| 1619165396 | Kentuckiana Motion X-ray, Inc. | Clinic/Center | 2403 Gutford Rd, Clarksville, IN 47129-9051 | 2007-10-09 |
| 1124236740 | Kentuckiana Radiology Services, Inc | Clinic/Center | 858 S Penn Ave, Sellersburg, IN 47172-1627 | 2007-05-18 |
| 1548201452 | 1012 Investments, LLC | Clinic/Center | 9120 S County Road 800 W, Daleville, IN 47334-9421 | 2006-06-10 |
| 1578548814 | Specialized Imaging Services, Inc | Clinic/Center | 574 Bridge St, Mooresville, IN 46158-1342 | 2005-12-09 |
| 1063013761 | Convenient Ultrasounds | Clinic/Center | 10822 Lantern View Dr Apt 307, Fishers, IN 46038-4204 | 2020-11-08 |
| 1053934414 | Pdi Health In LLC | Clinic/Center | 333 N Alabama St Ste 350, Indianapolis, IN 46204-2275 | 2020-05-20 |
| 1487054714 | Indiana Mobile Diagnostics LLC | Clinic/Center | 7895 Broadway, Suite V, Merrillville, IN 46410-5529 | 2014-08-22 |
| 1184032393 | Indiana Mobile Diagnostics, LLC | Clinic/Center | 7895 Broadway, Suite # V, Merrillville, IN 46410-5529 | 2014-07-31 |
| 1841621232 | Touhy Diagnostic At Home LLC | Clinic/Center | 1955 Harder Ct, Suite# E, Schererville, IN 46375-1696 | 2013-12-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on ALL-STAT PORTABLE IN, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.