# VISIONARY CTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Concierge Testing Vaccine Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073198065
- **Authorized official:** DR. BRADLEY A BREEDEN DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (913) 669-9394

## Contact information

- **Practice address:** 1551 WALL ST STE 120, SAINT CHARLES, MO 63303-3540
- **Practice address phone:** (636) 219-0177
- **Practice address fax:** (636) 493-1002
- **Mailing address:** 1551 WALL ST STE 120, SAINT CHARLES, MO 63303-3540
- **Mailing address phone:** (636) 219-0177
- **Mailing address fax:** (636) 493-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021