NPI 1811587132

Modern Vascular of Memphis LLC

Organisation Vascular-Interventional Technology Radiologic Technologist Memphis, TN

Practice location

Address: 5645 Murray Ave, Memphis, TN 38119-3831
Phone: (901) 633-1190
Fax: (901) 881-7979
Mailing address: 26500 Agoura Rd STE 102-587, Calabasas, CA 91302-1952

Authorised official

Name: Yury Gampel
Title: Manager
Phone: (818) 262-6423

Registered specialties (2)

Vascular-Interventional Technology Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471V0106X

Other Radiologic Technologist providers in Tennessee →

Cardiovascular-Interventional Technology Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C1101X

Registry record

NPI: 1811587132
Entity type: Organization
NPI issued: 20 Jan 2021
Record last updated: 20 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.