Provider Demographics
NPI:1609469204
Name:EXPRESS MEDICAL EXPERTS, LLC
Entity Type:Organization
Organization Name:EXPRESS MEDICAL EXPERTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-480-2604
Mailing Address - Street 1:785 OAKLEAF PLANTATION PKWY UNIT 1611
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-3523
Mailing Address - Country:US
Mailing Address - Phone:904-480-2604
Mailing Address - Fax:
Practice Address - Street 1:2020 KINGSLEY AVE STE 2
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5181
Practice Address - Country:US
Practice Address - Phone:904-647-8177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory