Organization
MODERN VASCULAR OF ST LOUIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURY GAMPEL (CEO)
(818) 880-8605
Entity
Organization
Contact information
Practice address
641 N NEW BALLAS RD, CREVE COEUR, MO 63141-6713
(314) 648-0101
(314) 899-2715
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(818) 880-8605
(818) 579-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us