Healthcare Provider Details

I. General information

NPI: 1689633307
Provider Name (Legal Business Name): MLK ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11128 LUSCHEK DR
BLUE ASH OH
45241-2434
US

IV. Provider business mailing address

PO BOX 674553
DETROIT MI
48267-4553
US

V. Phone/Fax

Practice location:
  • Phone: 513-742-9698
  • Fax: 513-339-1954
Mailing address:
  • Phone: 513-742-9698
  • Fax: 513-339-1954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: EMILY M VESTAL
Title or Position: PRESIDENT AND DIRECTOR
Credential:
Phone: 866-897-8588