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MODERN NUCLEAR INC. NPI 1659394047


NPI Information

NPI: 1659394047
Provider Name: MODERN NUCLEAR, INC.
Classification: Radiologic Technologist - 2471N0900X
Entity Type: Organization

Specialization: Nuclear Medicine Technology

Address:
511 S HARBOR BLVD
BLDG E
LA HABRA, CA
ZIP 90631
Phone: (562) 905-2244
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MODERN NUCLEAR, INC. is a nuclear medicine technology radiologic technologist in La Habra, CA. The provider is definition to come. MODERN NUCLEAR, INC. NPI is 1659394047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

511 S HARBOR BLVD
BLDG E
LA HABRA, CA
ZIP 90631-375
Phone: (562) 905-2244
Fax: (562) 905-2024

The provider's authorized official is Patrick James Laverty .
The authorized official title is C.e.o. and has the following contact phone number (562) 905-2244.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 6/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471N0900XRadiologic TechnologistNuclear Medicine TechnologyRAML 5179-30CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HB938BMEDICARE PINCALIFORNIA
2TG556AMEDICARE PINCALIFORNIA
3HB960BMEDICARE PINCALIFORNIA
4TG556MEDICARE PINCALIFORNIA
5HB960AMEDICARE PINCALIFORNIA
6HB938AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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