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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
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 |
Street Address |
12501 PROSPERITY DR STE 455 |
City | SILVER SPRING |
State | MD |
Zip Code | 20904-1689 |
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 |
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 |
Find all providers in zip 20904 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | SILVER SPRING |
Zip Code | 20904 |
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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.