MODERN VASCULAR INSTITUTE LLC – NPI #1619407442
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.

MODERN VASCULAR INSTITUTE LLC is a radiologist located in MESA, AZ. NPPES has assigned the NPI number 1619407442 to MODERN VASCULAR INSTITUTE LLC on June 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 8 years ago on Jul 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN VASCULAR INSTITUTE LLC below.

NPI Profile for
MODERN VASCULAR INSTITUTE LLC

NPI Number
1619407442
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MODERN VASCULAR INSTITUTE LLC
Primary location
535 E MCKELLIPS RD STE 115
MESA, AZ 85203
Phone: (818) 262-6423 Fax:
Mailing address
26500 AGOURA RD STE 102-587
CALABASAS, CA 91302-1952
Phone: (818) 880-8605 Fax:
Organization Subpart
No
Authorized Official
YURY GAMPEL
OWNER
Phone: (818) 880-8605
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.