National Provider Identifier Database

MODERN VASCULAR OF MEMPHIS LLC
Vascular-Interventional Technology Radiologic Technologist

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.


Contact Information

MODERN VASCULAR OF MEMPHIS LLC
5645 MURRAY AVE
MEMPHIS, TN38119-3831
Phone: 901-633-1190
Fax: 901-881-7979
Website:
Specialty Taxonomy Code
* Vascular-Interventional Technology Radiologic Technologist 2471V0106X
Cardiovascular-Interventional Technology 2471C1101X

* Indicates primary specialty

NPI Profile & details for MODERN VASCULAR OF MEMPHIS LLC

NPI Number 1811587132
Legal business name
LBN
MODERN VASCULAR OF MEMPHIS LLC
Authorized official YURY GAMPEL - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/20/2021
Last updated 01/20/2021 - About 5 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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