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MODERN VASCULAR INSTITUTE LLC
NPI 1619407442
Radiology - Vascular & Interventional Radiology in Mesa, AZ

Active since June 14, 2017
535 E MCKELLIPS RD STE 115, MESA, AZ 85203(818) 262-6423 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2018, Jun 27, 2017, Jun 14, 2017 (3 updates tracked since 2017).

About Modern Vascular Institute Llc NPPES

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

MODERN VASCULAR INSTITUTE LLC (NPI 1619407442) is a healthcare organization registered as a vascular & interventional radiology in Mesa, Arizona and active in the NPI registry since June 2017. The organization lists Yury Gampel, Owner, as its authorized official.

NPPES Registry Identity

NPI1619407442
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMODERN VASCULAR INSTITUTE LLC
Location Address535 E MCKELLIPS RD STE 115Mesa, AZ 85203
Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605
Phone(818) 262-6423
Organization SubpartNo
Authorized OfficialYury GampelOwner · (818) 880-8605
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 11, 20183 updates tracked since enumeration
✔ NPI 1619407442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedPodiatristTaxonomy 213E00000X
535 E MCKELLIPS RD STE 115, Mesa, AZ 85203
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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

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 Institute LLC's NPI number?

The NPI number for Modern Vascular Institute LLC is 1619407442. It was assigned to this organization in the NPPES registry on June 14, 2017.

Where is Modern Vascular Institute LLC located?

Modern Vascular Institute LLC is located at 535 E Mckellips Rd Ste 115, Mesa, AZ 85203. The listed phone number is (818) 262-6423.

What is Modern Vascular Institute 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 Institute LLC was last updated on July 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.