Modern Vascular of Memphis LLC

Organization Cardiovascular-Interventional Technology Radiologic Technologist · NPI 1811587132

Modern Vascular of Memphis LLC is a Cardiovascular-Interventional Technology Radiologic Technologist in Memphis, Tennessee. Registered with an NPI since 2021.

In the registry since: 2021
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

5645 Murray Ave
Memphis, TN 38119-3831
Phone: (901) 633-1190
Fax: (901) 881-7979

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular-Interventional Technology Radiologic Technologist (primary)	Taxonomy 2471V0106X
Cardiovascular-Interventional Technology Radiologic Technologist	Taxonomy 2471C1101X

Record details

NPI number	1811587132
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Yury Gampel — Manager · (818) 262-6423
NPI enumerated	January 20, 2021
Last updated in NPPES	January 20, 2021
Certification date	January 20, 2021
Mailing address	26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952