Platinum Venture Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PLATINUM VENTURE GROUP LLC

Practice address

7071 N 138TH Ave BLDG 1540
Glendale, AZ 85307-2006

Phone

(623) 248-4275

Fax

(623) 248-4273

NPI assigned

Oct 9, 2019

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome Starks

Title

Ceo

Phone

(801) 214-9918

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1619519840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 E WOODOAK LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076370",
            "telephone_number": "623-248-4275",
            "fax_number": "623-248-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 N 138TH AVE BLDG 1540",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853072006",
            "telephone_number": "623-248-4275",
            "fax_number": "623-248-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM VENTURE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-214-9918"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.