Organization
EXPRESS IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE PROFIT (BUSINESS MANAGER)
(419) 525-2160
Entity
Organization
Contact information
Practice address
1987 W 4TH ST, MANSFIELD, OH 44906-1708
(419) 529-1455
(419) 522-7021
Mailing address
1987 W 4TH ST, MANSFIELD, OH 44906-1708
(419) 529-1455
(419) 522-7021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032526
—
OH
Enumeration date
08/18/2006
Last updated
08/22/2020
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