MODERN VASCULAR OF DENVER, LLC
NPI 1184279804
Radiology - Vascular & Interventional Radiology in Thornton, CO

NPI Status: Active since August 08, 2019

Contact Information

9441 HURON ST
THORNTON, CO
ZIP 80260
Phone: (720) 617-7333
Fax: (720) 627-8845

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • CLIA Number: 06D2175838
  • CLIA Cert. Type: Other - OUTPATIENT TREATMENT CTR
  • CLIA Exp. Date: 12-02-2025

About MODERN VASCULAR OF DENVER, LLC

This page provides the complete NPI Profile along with additional information for Modern Vascular Of Denver, Llc, a provider established in Thornton, Colorado operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1184279804 assigned on August 2019. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Modern Vascular Of Denver, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Yury Gampel (Manager)

NPI
1184279804
Provider Name
MODERN VASCULAR OF DENVER, LLC
Entity Type
Organization
Location Address
9441 HURON ST THORNTON, CO 80260
Location Phone
(720) 617-7333
Location Fax
(720) 627-8845
Mailing Address
26500 AGOURA RD STE 201 CALABASAS, CA 91302
Mailing Phone
(818) 880-8605
Mailing Fax
(720) 627-8845
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2019
Last Update Date
01-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12471V0106XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Vascular-Interventional Technology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YURY GAMPEL

Authorized Official Title
MANAGER
Authorized Official Phone
(818) 880-8605

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2175838
Facility Type
Other - OUTPATIENT TREATMENT CTR
Certificate Effective Date
December 03, 2023
Certificate Expiration Date
December 02, 2025
Laboratory Director
DR. PAUL JOHN ROCHON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Modern Vascular Of Denver, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184279804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 4 + 7 + 1 + 8 + 8 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184279804.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
9441 HURON ST, THORNTON CANCER CENTER
THORNTON, CO 80260
Specialist
9441 HURON ST
THORNTON, CO 80260
Radiology (Vascular & Interventional Radiology)
9441 HURON ST
THORNTON, CO 80260
Nurse Practitioner
9441 HURON ST
THORNTON, CO 80260
Radiology (Vascular & Interventional Radiology)
9441 HURON ST
THORNTON, CO 80260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184279804, enumerated as an "organization" on August 08, 2019.

The provider is located at 9441 HURON ST THORNTON, CO 80260 and the phone number is (720) 617-7333.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.