Advanced Portable X-Ray

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

ADVANCED PORTABLE X-RAY

Practice address

3718 Jefferson Ave
Texarkana, AR 71854-2244

Phone

(224) 337-1000

NPI assigned

Oct 19, 2006

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Etai Sooliman

Title

Ceo

Phone

(224) 337-1000

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elliott Jay Wagner, M.D.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
  • NPI 1558312579

  AR

  Medicare reassignment NPD
• Derek Kurt Urban, MD

  • Diagnostic Radiology Physician
  • Lackland AFB, TX
  • NPI 1033197454
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1457433526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 CHRISTIANA AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762910",
            "telephone_number": "224-337-1000",
            "fax_number": "224-337-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 JEFFERSON AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542244",
            "telephone_number": "224-337-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 Farm Road 2297",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754824719",
            "country_code": "US",
            "telephone_number": "903-885-3200",
            "fax_number": "903-439-0462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PORTABLE X-RAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SOOLIMAN",
        "authorized_official_first_name": "ETAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-337-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "AR",
            "license": "R27937",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150549710",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa J Adams
• Teresa Addington
• Folake Adekunle, MD
• Rebekan Monserratt Adkins
• Gracie Mae Adkisson, PMHNP-BC
• Advanced Portable X-Ray, LLC
• Evelyn Agu
• Ahm Action Home Health, LP (Enhabit Home Health)
• Gregory Allen Aitchison, MD
• Olakitan Tomi Akinjagunla, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.