Healthcare Provider Details

I. General information

NPI: 1396443917
Provider Name (Legal Business Name): XPRESS HEALTHCARE ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 ALPHA DR STE G
HIGHLAND HEIGHTS OH
44143-2139
US

IV. Provider business mailing address

675 ALPHA DR STE G
HIGHLAND HEIGHTS OH
44143-2139
US

V. Phone/Fax

Practice location:
  • Phone: 440-941-5093
  • Fax:
Mailing address:
  • Phone: 440-941-5093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANEESAH LEWIS
Title or Position: OWNER
Credential: LPN
Phone: 216-303-0966