National Provider Identifier Database

MODERN VASCULAR OF ST LOUIS 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 ST LOUIS LLC
641 N NEW BALLAS RD
CREVE COEUR, MO63141-6713
Phone: 314-648-0101
Fax: 314-899-2715
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Vascular-Interventional Technology Radiologic Technologist 2471V0106X

* Indicates primary specialty

NPI Profile & details for MODERN VASCULAR OF ST LOUIS LLC

NPI Number 1972106391
Legal business name
LBN
MODERN VASCULAR OF ST LOUIS LLC
Authorized official YURY GAMPEL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/18/2020
Last updated 11/18/2020 - About 6 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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