# EXECUTIVE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073121521
- **Authorized official:** BRIAN D HEMPSTEAD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (740) 387-7200

## Contact information

- **Practice address:** 1069 DELAWARE AVE STE 104, MARION, OH 43302-6459
- **Practice address phone:** (740) 751-6828
- **Practice address fax:** (740) 751-6829
- **Mailing address:** 1069 DELAWARE AVE STE 104, MARION, OH 43302-6459
- **Mailing address phone:** (740) 751-6828
- **Mailing address fax:** (740) 751-6829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 07/21/2020