Modern Molecular Imaging LLC

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

Legal business name

MODERN MOLECULAR IMAGING LLC

Practice address

7210 N Milburn Ave Ste 106
Fresno, CA 93722-8449

Phone

(702) 817-0375

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

James Ballow

Title

Owner

Phone

(702) 817-0375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1700418738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228449",
            "telephone_number": "702-817-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228449",
            "telephone_number": "702-817-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MOLECULAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "BALLOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-817-0375"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Cole Mock, D.D.S.
• Nathan Mock
• Modern Drug Inc
• Modern Drug Inc
• Modern Medicine Inc.
• Ryan Moench
• Veronica Moffitt, PA-C
• Shanon Mogadam, LVN
• Jeffrey S Mogelof, M.D.
• Sadaf Moghimi

• Nuclear Cardiology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Nuclear Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.