Organization
MODERN NUCLEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK LAVERTY CNNT, RSO (CEO)
(562) 905-2244
Entity
Organization
Contact information
Practice address
511 S HARBOR BLVD STE E, LA HABRA, CA 90631-9375
(562) 905-2244
Mailing address
511 S HARBOR BLVD STE E, LA HABRA, CA 90631-9375
(562) 905-2244
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/27/2020
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