Provider Demographics
NPI:1427107853
Name:XPRESS CENTER, INC
Entity type:Organization
Organization Name:XPRESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DULCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-427-1800
Mailing Address - Street 1:16977 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2946
Mailing Address - Country:US
Mailing Address - Phone:734-427-1800
Mailing Address - Fax:734-427-1808
Practice Address - Street 1:16977 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-2946
Practice Address - Country:US
Practice Address - Phone:734-427-1800
Practice Address - Fax:734-427-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP38510Medicare ID - Type UnspecifiedGENERAL MEDICINE