Provider Demographics
NPI:1316442122
Name:MEDICAL VENTURE PARTNERS LLC
Entity type:Organization
Organization Name:MEDICAL VENTURE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-343-0888
Mailing Address - Street 1:7555 CODER RD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9345
Mailing Address - Country:US
Mailing Address - Phone:419-343-0888
Mailing Address - Fax:
Practice Address - Street 1:626 MADISON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1123
Practice Address - Country:US
Practice Address - Phone:419-343-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies