Modern Vascular Of St Louis Llc
LBN: Modern Vascular Of St Louis Llc
Modern Vascular Of St Louis Llc is an health care organization with primary practice located at 641 N New Ballas Rd , Creve Coeur MO 63141-6713. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is the primary health care specialty.
Modern Vascular Of St Louis Llc can be contacted via phone (314) 648-0101, or through Gampel, Yury via phone (818) 880-8605.
Contact Information
Primary practice address
641 N New Ballas Rd
Creve Coeur MO 63141-6713
Phone: (314) 648-0101
Fax: (314) 899-2715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology | 2471V0106X |
Profile Details
NPI number | 1972106391 |
---|---|
LBN Legal business name | Modern Vascular Of St Louis Llc |
DBA Doing business as | |
Authorized official | Gampel, Yury |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 18th, 2020 |
Last updated | Nov 18th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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