Organization
MODERN NUCLEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JAMES LAVERTY CNMT (CEO/RSO)
(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
5179-30
CA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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