ALL-STAT PORTABLE IN, LLC (NPI# 1720545296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720545296 |
| 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 | 2019-02-21 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MR. ETAI SOOLIMAN (CEO) |
| Authorized Official Telephone | 2243371000 |
| 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 |
|---|---|---|---|---|
| 1295348076 | All-stat Portable In, LLC | Clinic/Center | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2020-08-31 |
| Street Address |
3458 STELLHORN RD STE B |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348076 | All-stat Portable In, LLC | Clinic/Center | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2020-08-31 |
| 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 | 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 |
|---|---|---|---|---|
| 1205227881 | Symphony Diagnostic Services No 1 LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2901a Parnell Ave, Fort Wayne, IN 46805-2548 | 2015-02-18 |
| 1659578409 | Northeast X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2928 Parnell Ave, Fort Wayne, IN 46805-2500 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053833194 | Crown Radiology Associates | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 72nd Ave, Schererville, IN 46375-5352 | 2017-07-11 |
| 1588049746 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3815 River Crossing Pkwy, Suite 100, Indianapolis, IN 46240-7746 | 2015-07-29 |
| 1164850996 | Touhy Diagnostic At Home, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1955 Harder Ct, Suite# E, Schererville, IN 46375-1696 | 2013-10-14 |
| 1215254891 | Medlife Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8892 Louisiana St Ste B, Merrillville, IN 46410-7153 | 2010-04-22 |
| 1306174487 | Indy Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 650 S 800 E, Zionsville, IN 46077-9716 | 2009-11-30 |
| 1922241835 | Mobileradiology.org LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13645 Mckinley Hwy, Unit A, Mishawaka, IN 46545-7492 | 2009-04-08 |
| 1831254424 | Midwest X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1031 Mount Auburn Rd, Evansville, IN 47720-8226 | 2006-12-26 |
| 1326012873 | Mobile Health Care, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4511 N Johnson Rd, Michigan City, IN 46360-7675 | 2006-02-13 |
| 1902803745 | Accustat Medical Lab, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1811 Executive Dr, Suite F, Indianapolis, IN 46241-4300 | 2005-07-07 |
| 1952924318 | Pdi Health In LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 333 N Alabama St, Indianapolis, IN 46204-2034 | 2020-05-20 |
| 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.