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

NPI assigned

Jan 17, 2020

Organization subpart

No

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

Authorized official

Name

Patrick Laverty, CNNT, RSO

Title

Ceo

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 1073193579
  NPD tax ID

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1265062293",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN NUCLEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "LAVERTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-905-2244",
        "authorized_official_credential": "CNNT,  RSO"
    },
    "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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• Modern Nuclear, Inc
• Modern Nuclear, Inc.
• Modern Nuclear, Inc.
• Modern Nuclear, Inc.
• Modern Nuclear, Inc.

• 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 Jan 27, 2020; 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.