# ADVANCED CARDIOVASCULAR CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538586037
- **Authorized official:** GUS ASSI (ADMINISTRATOR)
- **Authorized official phone:** (314) 774-7235

## Contact information

- **Practice address:** 2335 DOUGHERTY FERRY RD, SUITE A, SAINT LOUIS, MO 63122-3313
- **Practice address phone:** (314) 774-7235
- **Mailing address:** 12430 TESSON FERRY RD, \#117, SAINT LOUIS, MO 63128-2702
- **Mailing address phone:** (314) 774-7235
- **Mailing address fax:** (314) 729-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | LC1326878 | MO | Yes |

## Other

- **Enumeration date:** 03/21/2014
- **Last updated:** 03/21/2014