Healthcare Provider Details

I. General information

NPI: 1265062293
Provider Name (Legal Business Name): MODERN NUCLEAR, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 S HARBOR BLVD STE E
LA HABRA CA
90631-9375
US

IV. Provider business mailing address

511 S HARBOR BLVD STE E
LA HABRA CA
90631-9375
US

V. Phone/Fax

Practice location:
  • Phone: 562-905-2244
  • Fax:
Mailing address:
  • Phone: 562-905-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: PATRICK LAVERTY
Title or Position: CEO
Credential: CNNT, RSO
Phone: 562-905-2244