Dav-Kim Portable X Ray Service Co

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DAV-KIM PORTABLE X RAY SERVICE CO

Doing business as

All-Stat Portable Xray

Practice address

8235 Christiana Ave
Skokie, IL 60076-2910

Phone

(224) 337-1000

Fax

(224) 337-0100

NPI assigned

Nov 1, 2006

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 2

Other names 1

• ALL-STAT PORTABLE XRAY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dav-Kim Portable X Ray Service Co

  dba All-Stat Portable Xray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Skokie, IL
  • NPI 1841441821

  O20061122000391

  Same enrollment

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922185958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651126",
            "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": "8235 CHRISTIANA AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762910",
            "telephone_number": "224-337-1000",
            "fax_number": "224-337-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAV-KIM PORTABLE X RAY SERVICE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "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": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM7408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "206164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL-STAT PORTABLE XRAY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALL-STAT PORTABLE XRAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara N Dart, OTR/L
• Joanne Mary Dasilva, APN-CNP
• Gagandeep Daul, MD
• Dav-Kim Portable X Ray Service Co (All-Stat Portable X-Ray)
• Dav-Kim Portable X Ray Service Co (All-Stat Portable Xray)
• David a. Kanarek, DDS, PC. (Old Orchard Dental Associates)
• David B. Schwartz DDS LTD
• David B. Schwartz, DDS and Associates
• David S. Center DDS LTD
• David Shor PH.D. LLC

• Diagnostic Radiology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.