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MODERN VASCULAR OF TUCSON, LLC
NPI 1255896544
Radiology - Vascular & Interventional Radiology in Tucson, AZ

Active since January 31, 2019
2171 W ORANGE GROVE RD, TUCSON, AZ 85741(520) 201-4980 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Modern Vascular Of Tucson, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN VASCULAR OF TUCSON, LLC (NPI 1255896544) is a healthcare organization registered as a vascular & interventional radiology in Tucson, Arizona and active in the NPI registry since January 2019. The organization lists Yury Gampel, Manager, as its authorized official.

NPPES Registry Identity

NPI1255896544
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMODERN VASCULAR OF TUCSON, LLC
Location Address2171 W ORANGE GROVE RDTucson, AZ 85741-3118
Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605 · Fax (818) 579-7916
Phone(520) 201-4980
Organization SubpartNo
Authorized OfficialYury GampelManager · (818) 880-8605
Enumeration DateJanuary 31, 2019
✔ NPI 1255896544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiologic Technologist · Vascular-Interventional TechnologyTaxonomy 2471V0106X
2171 W ORANGE GROVE RD, Tucson, AZ 85741
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY KAY DURFEE MD
Obstetrics & Gynecology
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 877-3800
CRYSTAL ANN EIDENSCHINK FNP
Nurse Practitioner (Family)
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 297-3907
CAROL ANN MAYFLOWER
Nurse Practitioner (Family)
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 297-3907
DR. ROBERT J KAHLER MD
Obstetrics & Gynecology (Gynecology)
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 877-3800
GERALDA B GOODIN FNP-C
Nurse Practitioner (Family)
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 297-3907
MRS. NICOL SHANTEL EBANKS FNP-C
Nurse Practitioner (Family)
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 297-3907
SOPHIA LALLINGER PA-C
Physician Assistant
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 297-3907
MACY NICOLE SIMON PA-C
Physician Assistant
2171 W ORANGE GROVE RD
TUCSON, AZ 85741
Pima County (520) 297-3907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Vascular Of Tucson, LLC's NPI number?

The NPI number for Modern Vascular Of Tucson, LLC is 1255896544. It was assigned to this organization in the NPPES registry on January 31, 2019.

Where is Modern Vascular Of Tucson, LLC located?

Modern Vascular Of Tucson, LLC is located at 2171 W Orange Grove Rd, Tucson, AZ 85741. The listed phone number is (520) 201-4980.

What is Modern Vascular Of Tucson, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Modern Vascular Of Tucson, LLC was last updated on January 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.