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Contact Information

MODERN VASCULAR OF SUN CITY, LLC
14780 W MOUNTAIN VIEW BLVD STE 120
SURPRISE, AZ85374-7280
 Phone: 602-892-0917
 Fax: 602-842-7106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Vascular-Interventional Technology Radiologic Technologist

2471V0106X
Indicates primary specialty

NPI Profile & details for MODERN VASCULAR OF SUN CITY, LLC

NPI Number 1083179378
LBN Legal business name MODERN VASCULAR OF SUN CITY, LLC
Authorized official YURY GAMPEL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2019
Last updated 01/31/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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