NPIMap

Organization Active NPI

Express Imaging

  • Diagnostic Radiology Physician
  • Mansfield, OH
National Provider Identifier
1275647968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EXPRESS IMAGING
Practice address
1987 W 4TH St
Mansfield, OH 44906-1708
Phone
(419) 529-1455
Fax
(419) 522-7021
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darlene Profit
Title
Business Manager
Phone
(419) 525-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1987 W 4TH St
Mansfield, OH 44906-1708

Mailing address

1987 W 4TH St
Mansfield, OH 44906-1708
Phone (419) 529-1455

Other identifiers 1

IdentifierTypeStateIssuer
2032526MedicaidOH

National Provider Directory

National Provider Directory

Locations

1987 W 4th St
Ontario, OH 44906
Phone (419) 525-2160

1987 W 4th St
#A
Ontario, OH 44906
Phone (419) 529-1455

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275647968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061708",
            "telephone_number": "419-529-1455",
            "fax_number": "419-522-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061708",
            "telephone_number": "419-529-1455",
            "fax_number": "419-522-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROFIT",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "419-525-2160"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.