Modern Nuclear, Inc.

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

Legal business name

MODERN NUCLEAR, INC.

Practice address

511 S Harbor Blvd Ste E
La Habra, CA 90631-9375

Phone

(562) 905-2244

Fax

(562) 905-2024

NPI assigned

Apr 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick J Laverty, CNMT

Title

Ceo/Rso

Phone

(562) 905-2244

Specialties & licenses 1

Addresses

Tax ID family

Modern Nuclear Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modern Nuclear, Inc

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1265062293
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1073193579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S HARBOR BLVD STE E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319375",
            "telephone_number": "562-905-2244",
            "fax_number": "562-905-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S HARBOR BLVD STE E",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319375",
            "telephone_number": "562-905-2244",
            "fax_number": "562-905-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN NUCLEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "LAVERTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/RSO",
        "authorized_official_telephone_number": "562-905-2244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNMT"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica R Fernandez, Inc
• Amanda Montenegro
• Robert Montes

• Radiologic Technologist in La Habra, CA
• Providers in La Habra, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.