Lakeside Cancer Specialists, Pllc in Saint Joseph - Oncology
Lakeside Cancer Specialists, Pllc - NPI 1134254311
Lakeside Cancer Specialists, Pllc is a Oncology in Saint Joseph, Michigan. Lakeside Cancer Specialists, Pllc practices all healthcare services and medical treatments related to Oncology. The NPI Number for Lakeside Cancer Specialists, Pllc is 1134254311. The last update date is 2009-07-20.
Lakeside Cancer Specialists, Pllc's current location address is 3950 Hollywood Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2694284411 and fax number 2694284422. The mailing address for Lakeside Cancer Specialists, Pllc is 3950 Hollywood Rd, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Cancer Specialists, Pllc |
|---|---|
| Address | 3950 Hollywood Rd, Saint Joseph, Michigan |
| Phone Number | 2694284411 |
| Fax Number | 2694284422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Paloyan Brian Edmund |
| Credentials | M.D. |
| Telephone Number | 2694284411 |
NPI Number Detail
| NPI Number | 1134254311 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2009-07-20 |
Provider Mailing Address Detail
| Address | 3950 Hollywood Rd |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490859151 |
| Phone Number | 2694284411 |
| Fax Number | 2694284422 |
Provider's Primary Taxonomy Detail
| Speciality | Oncology |
|---|---|
| Taxonomy | 261Qx0200X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P42500 | MEDICARE ID |
Post Comment/ Review Below
What is the Lakeside Cancer Specialists, Pllc's unique identification number?
The Lakeside Cancer Specialists, Pllc has been assigned the NPI (National Provider Identifier) Number 1134254311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lakeside Cancer Specialists, Pllc is physically located?
The Lakeside Cancer Specialists, Pllc is situated at the following address: 3950 Hollywood Rd, Saint Joseph, MI 490859151.
What is Lakeside Cancer Specialists, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lakeside Cancer Specialists, Pllc is Oncology, and the corresponding taxonomy classification code for this specialized field is 261Qx0200X.
When did the Lakeside Cancer Specialists, Pllc receive its 1134254311?
The Lakeside Cancer Specialists, Pllc was issued its 1134254311 on 2007-02-21, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lakeside Cancer Specialists, Pllc most recently updated or revised?
The information pertaining to Lakeside Cancer Specialists, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-20.