ALL-STAT PORTABLE MD, LLC


Address: 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689
Phone: 3016801900

ALL-STAT PORTABLE MD, LLC (NPI# 1548869894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548869894
Entity Type Organization
Organization Name ALL-STAT PORTABLE MD, LLC
Practice Address 12501 Prosperity Dr Ste 455
Silver Spring
MD 20904-1689
Mailing Address 8235 Christiana Ave
Skokie
IL 60076-2910
Practice Telephone 3016801900
Practice Fax Number 3016800920
Mailing Telephone 2243371000
Mailing Fax Number 2243370100
Enumeration Date 2020-10-19
Last Update Date 2020-10-19
Authorized Official Name MR. ETAI SOOLIMAN (CEO)
Authorized Official Telephone 2243371199
Is Organization Subpart Y
Parent Organization Name ALL-STAT PORTABLE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568061869 All-stat Portable Md, LLC Physiological Laboratory 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 2020-10-19

Office Location

Street Address 12501 PROSPERITY DR STE 455
City SILVER SPRING
State MD
Zip Code 20904-1689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568061869 All-stat Portable Md, LLC Physiological Laboratory 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 2020-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487292678 Vas Adult Day Care Center Clinic/Center 12621 Old Columbia Pike, Silver Spring, MD 20904 2019-12-18
1619512837 David Newsome General Practice 12305 Sandalwood Lane, Silver Spring, MD 20904 2019-11-12
1215595996 Educational Speech Services Prattle On Speech-Language Pathologist 2804 Mozart Drive, Silver Spring, MD 20904 2019-05-29
1184288201 Danielle Fitzpatrick Tarbrake Speech-Language Pathologist Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 2019-04-24
1912483181 Florence M Edorh-damlin Home Health Aide 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 2018-07-11
1922594357 Melanie Bennett Occupational Therapist 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 2018-07-09
1578056602 Chioma Theresa Nwaneri Home Health Aide 1516 November Cir Apt 201, Silver Spring, MD 20904 2018-06-13
1598287989 Wandji Ngatchou Home Health Aide 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 2017-07-07
1871025239 Rose Abanda Home Health Aide 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 2017-04-03
1962955930 Bentilda Healthcare Services Nursing Care 13526 Collingwood Ter, Silver Spring, MD 20904 2016-07-26
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy 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.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396156220 Salubiinfluence Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 11200 Lockwood Dr Apt 515, Silver Spring, MD 20901-4528 2014-05-13
1174577969 Mobile Medical Imaging, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 12501 Prosperity Dr, Suite 455, Silver Spring, MD 20904-1689 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407454465 Atlantic Portable X-ray, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 9748 Stephen Decatur Hwy Ste 113, Ocean City, MD 21842-9358 2020-10-13
1053743260 Access Mobile Imaging Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1100 Volos Ct, Bel Air, MD 21015-2019 2013-07-30
1487910048 Muma's Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 6521 Greenfield Ct, Lanham, MD 20706-3556 2012-04-09
1700865094 Symphony Diagnostic Services No 1 LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 930 Ridgebrook Rd, 3rd Floor, Sparks, MD 21152-9390 2006-01-13
1801898077 Radiation Physics Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 10133 Bacon Dr, Beltsville, MD 20705-2102 2005-06-01
1164045928 Pdi Health Md LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 6700 Alexander Bell Dr Ste 200, Columbia, MD 21046-2105 2020-05-27
1801434907 Pdihealth Md LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 12 S Summit Ave Ste 100-a25, Gaithersburg, MD 20877-2089 2019-12-19
1831606011 Physician's Mobile X-ray, Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4922 Lasalle Rd, Hyattsville, MD 20782-3302 2018-01-09
1437515673 Symphony Diagnostic Services No 1 LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 930 Ridgebrook Rd, 3rd Floor, Sparks, MD 21152-9481 2016-01-04
1669868212 Gemini Imaging Group, Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1997 Annapolis Exchange Pkwy Ste 300, Annapolis, MD 21401-3273 2015-04-10
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Competitor

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City SILVER SPRING
Zip Code 20904

Improve Information

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Dataset Information

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.

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