MODERN VASCULAR OF ST LOUIS LLC
NPI 1972106391
Radiology - Vascular & Interventional Radiology in Creve Coeur, MO

Q: What is Modern Vascular Of St Louis LLC's NPI number?

The NPI number for Modern Vascular Of St Louis LLC is 1972106391. It was assigned to this organization in the NPPES registry on November 18, 2020.

Q: What is Modern Vascular Of St Louis LLC's specialty?

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

Active since November 18, 2020

641 N NEW BALLAS RD, CREVE COEUR, MO 63141(314) 648-0101(314) 899-2715 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Modern Vascular Of St Louis Llc NPPES

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

MODERN VASCULAR OF ST LOUIS LLC (NPI 1972106391) is a healthcare organization registered as a vascular & interventional radiology in Creve Coeur, Missouri and active in the NPI registry since November 2020. The organization lists Yury Gampel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972106391

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameMODERN VASCULAR OF ST LOUIS LLC

Location Address641 N NEW BALLAS RDCreve Coeur, MO 63141-6713

Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605 · Fax (818) 579-7916

Phone(314) 648-0101

Fax(314) 899-2715

Organization SubpartNo

Authorized OfficialYury GampelCeo · (818) 880-8605

Enumeration DateNovember 18, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1972106391 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

641 N NEW BALLAS RD, Creve Coeur, MO 63141

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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 20

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

MRS. DEBBIE STOUT STROBACH M.A., P.T.

Specialist

641 N NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 872-3345

MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC

Pediatrics (Neurodevelopmental Disabilities)

641 N NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 872-3345

JACQUELINE ANNE FRANKEL CCC-SLP

Speech-Language Pathologist

641 N NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 872-3345

MRS. JEAN M YEMM PHYSICAL THERAPIST

Physical Therapist

641 N NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 872-3345

RISA SHYRES

Specialist

641 N NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 872-3345

DR. ALI MALIK M.D.

Radiology (Vascular & Interventional Radiology)

641 N NEW BALLAS RD
CREVE COEUR, MO 63141

St. Louis County (585) 376-2545

MRS. KATHRYN ANN MACHEFSKY M.A. CCC SLP

Speech-Language Pathologist

641 N NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 872-3345

REPRODUCTIVE MEDICAL ASSOCIATES OF ST LOUIS

Obstetrics & Gynecology (Reproductive Endocrinology)

641 N NEW BALLAS RD
CREVE COEUR, MO 63141

St. Louis County (314) 312-2878

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 St Louis LLC's NPI number?

The NPI number for Modern Vascular Of St Louis LLC is 1972106391. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Modern Vascular Of St Louis LLC located?

Modern Vascular Of St Louis LLC is located at 641 N New Ballas Rd, Creve Coeur, MO 63141. The listed phone number is (314) 648-0101.

What is Modern Vascular Of St Louis 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 St Louis LLC was last updated on November 18, 2020. 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.