National Provider Identifier Database

MODERN VASCULAR OF MESA LLC
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

MODERN VASCULAR OF MESA, LLC
535 E MCKELLIPS RD STE 111
MESA, AZ85203
Phone: 480-223-1333
Fax:
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Cardiovascular Disease 207RC0000X
Family Medicine 207Q00000X
Interventional Cardiology 207RI0011X
Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MODERN VASCULAR OF MESA, LLC

NPI Number 1427583087
Legal business name
LBN
MODERN VASCULAR OF MESA, LLC
Authorized official TIM MURPHY - (VP OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 04/20/2017
Last updated 07/11/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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