MQ Healthcare Distributor LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MQ HEALTHCARE DISTRIBUTOR LLC

Practice address

3131 W Bolt St Ste D62
Fort Worth, TX 76110-5813

Phone

(817) 901-1770

NPI assigned

Mar 28, 2025

Last updated

Mar 28, 2025By 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

Mr. Ricardo Laporte

Title

VP/Cio

Phone

(817) 901-1770

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1700689437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W BOLT ST STE D62",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761105813",
            "telephone_number": "817-901-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 W BOLT ST STE D62",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761105813",
            "telephone_number": "817-901-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQ HEALTHCARE DISTRIBUTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "VP/CIO",
        "authorized_official_telephone_number": "817-901-1770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 28, 2025; 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.