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MODERN VASCULAR OF MEMPHIS LLC NPI 1811587132


NPI Information

NPI: 1811587132
Provider Name: MODERN VASCULAR OF MEMPHIS LLC
Classification: Radiologic Technologist - 2471V0106X
Entity Type: Organization

Specialization: Vascular-Interventional Technology

Address:
5645 MURRAY AVE
MEMPHIS, TN
ZIP 38119
Phone: (901) 633-1190
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MODERN VASCULAR OF MEMPHIS LLC is a vascular-interventional technology radiologic technologist in Memphis, TN. The provider is a radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care. MODERN VASCULAR OF MEMPHIS LLC NPI is 1811587132. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5645 MURRAY AVE
MEMPHIS, TN
ZIP 38119-831
Phone: (901) 633-1190
Fax: (901) 881-7979

The provider's authorized official is Yury Gampel .
The authorized official title is Manager and has the following contact phone number (818) 262-6423.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.


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
12471C1101XRadiologic TechnologistCardiovascular-Interventional TechnologyNo
22471V0106XRadiologic TechnologistVascular-Interventional TechnologyYes

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: 4/28/2024

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