Modern Vascular Of Glendale, Llc

LBN: Modern Vascular Of Glendale, Llc
Modern Vascular Of Glendale, Llc is an health care organization with primary practice located at 11851 N 51St Ave Building G, Glendale AZ 85304. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is the primary health care specialty. Modern Vascular Of Glendale, Llc can be contacted via phone (818) 949-2634, or through Gampel, Yury via phone (818) 880-8605.

Contact Information

Primary practice address
11851 N 51St Ave Building G Glendale AZ 85304
Phone: (818) 949-2634
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gampel, Yury
Phone: (818) 880-8605

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1063947638
LBN Legal business name Modern Vascular Of Glendale, Llc
DBA Doing business as
Authorized official Gampel, Yury
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2017
Last updated Jul 11th, 2018 - about 8 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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