OrganizationActive
Modern Molecular Imaging LLC
NPI 1700418738 · Nuclear Cardiology Physician · Fresno, CA
Provider details
- NPI number
- 1700418738
- Entity type
- Organization
- Primary specialty
- Nuclear Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Ballow, Owner(702) 817-0375
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7210 N Milburn Ave Ste 106
Fresno, CA 93722-8449
Phone: (702) 817-0375
Approximate (ZIP-level) locationGet directions
Mailing address
7210 N Milburn Ave Ste 106
Fresno, CA 93722-8449
Registry dates
- Enumerated
- 2020-02-07
- Last updated
- 2020-02-07
- Certified
- 2020-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.