Organization Active NPI

MLC Ventures

Doing business as Advanced Therapuetics

  • Durable Medical Equipment & Medical Supplies
  • Saint Peters, MO
National Provider Identifier
1114057775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MLC VENTURES
Doing business as
Advanced Therapuetics
Practice address
7127 Mexico Rd
Suite 226
Saint Peters, MO 63376-5400
Phone
(314) 630-7651
Fax
(636) 332-3317
NPI assigned
Mar 6, 2007
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
Mr. Robert A Stewart, EMT-P
Title
President-Ceo
Phone
(314) 630-7651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7127 Mexico Rd
Suite 226
Saint Peters, MO 63376-5400

Mailing address

7127 Mexico Rd
Suite 226
Saint Peters, MO 63376-5400
Phone (314) 630-7651

Other names 1

  • Advanced Therapuetics Doing business as

National Provider Directory

National Provider Directory

Locations

7127 Mexico Rd
Ste 226
Saint Peters, MO 63376
Phone (314) 630-7651

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114057775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 MEXICO RD",
            "address_2": "SUITE 226",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765400",
            "telephone_number": "314-630-7651",
            "fax_number": "636-332-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 MEXICO RD",
            "address_2": "SUITE 226",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765400",
            "telephone_number": "314-630-7651",
            "fax_number": "636-332-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLC VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "314-630-7651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Therapuetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

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.