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MODERN VASCULAR OF MEMPHIS LLC
NPI 1811587132
Radiologic Technologist - Vascular-Interventional Technology in Memphis, TN

Active since January 20, 2021
5645 MURRAY AVE, MEMPHIS, TN 38119(901) 633-1190(901) 881-7979 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Vascular Of Memphis Llc NPPES

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

MODERN VASCULAR OF MEMPHIS LLC (NPI 1811587132) is a healthcare organization registered as a vascular-interventional technology in Memphis, Tennessee and active in the NPI registry since January 2021. The organization lists Yury Gampel, Manager, as its authorized official.

NPPES Registry Identity

NPI1811587132
Entity TypeOrganization
Primary Taxonomy2471V0106X
Legal Business NameMODERN VASCULAR OF MEMPHIS LLC
Location Address5645 MURRAY AVEMemphis, TN 38119-3831
Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605
Phone(901) 633-1190
Fax(901) 881-7979
Organization SubpartNo
Authorized OfficialYury GampelManager · (818) 262-6423
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1811587132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiologic Technologist · Vascular-Interventional TechnologyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471V0106X
Definition
A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Also ListedRadiologic Technologist · Cardiovascular-Interventional TechnologyTaxonomy 2471C1101X
5645 MURRAY AVE, Memphis, TN 38119
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

BROOKE WARD DNP
Nurse Practitioner (Acute Care)
5645 MURRAY AVE
MEMPHIS, TN 38119
Shelby County (901) 779-5000
MEMPHIS VASCULAR SPECIALISTS PC
Radiology (Vascular & Interventional Radiology)
5645 MURRAY AVE
MEMPHIS, TN 38119
Shelby County (901) 633-1190

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 Memphis LLC's NPI number?

The NPI number for Modern Vascular Of Memphis LLC is 1811587132. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Modern Vascular Of Memphis LLC located?

Modern Vascular Of Memphis LLC is located at 5645 Murray Ave, Memphis, TN 38119. The listed phone number is (901) 633-1190.

What is Modern Vascular Of Memphis LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Vascular-Interventional Technology, with taxonomy code 2471V0106X.

When was this NPI record last updated?

The NPPES record for Modern Vascular Of Memphis LLC was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.