ALL-STAT PORTABLE MD LLC NPI 1568061869

NPI Information

NPI: 1568061869
Provider Name: ALL-STAT PORTABLE MD, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
12501 PROSPERITY DR STE 455
SILVER SPRING, MD
ZIP 20904
Phone: (301) 680-1900
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ALL-STAT PORTABLE MD, LLC is a radiology and mobile clinic center in Silver Spring, MD. ALL-STAT PORTABLE MD, LLC NPI is 1568061869. The provider is registered as an organization entity type.

The provider's business location address is:

12501 PROSPERITY DR STE 455
SILVER SPRING, MD
ZIP 20904-689
Phone: (301) 680-1900
Fax: (301) 680-0920

The provider's authorized official is Etai Sooliman .
The authorized official title is Ceo and has the following contact phone number (224) 337-1199.

The enumeration date for this NPI number is 10/19/2020 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	293D00000X	Physiological Laboratory				No
2	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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