Provider Demographics
NPI:1316238512
Name:EXPRESS IMAGING LLC
Entity type:Organization
Organization Name:EXPRESS IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:BISHOP
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-227-2700
Mailing Address - Street 1:1065 EXECUTIVE PARKWAY DR STE 220
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6367
Mailing Address - Country:US
Mailing Address - Phone:314-227-2700
Mailing Address - Fax:314-227-2720
Practice Address - Street 1:6722 W 128TH TER APT 106
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3943
Practice Address - Country:US
Practice Address - Phone:877-909-9729
Practice Address - Fax:314-227-2720
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOTECH X-RAY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier