Healthcare Provider Details

I. General information

NPI: 1063280030
Provider Name (Legal Business Name): AO EXPRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 TORRINGTON PL
DAYTON OH
45406-4441
US

IV. Provider business mailing address

2800 E 3RD ST STE 1093
DAYTON OH
45403-2104
US

V. Phone/Fax

Practice location:
  • Phone: 937-369-0807
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES R LACKING
Title or Position: MANAGER
Credential:
Phone: 937-369-0807