Blood and Cancer Institute of Little Rock

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1760448013 Issued in AR

Legal business name

BLOOD AND CANCER INSTITUTE OF LITTLE ROCK

Practice address

500 S University Ave
Suite 808
Little Rock, AR 72205-5302

Phone

(501) 664-1274

Fax

(501) 664-4236

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Asif Masood, M.D.

Title

Owner

Phone

(501) 664-1274

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1376947804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 808",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-1274",
            "fax_number": "501-664-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 808",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-1274",
            "fax_number": "501-664-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD AND CANCER INSTITUTE OF LITTLE ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-664-1274",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AR",
            "license": "1760448013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154122001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Markey Blissett
• John Burckhardt Block, MD
• Sydne Blocker
• Alexandra Blondell
• Gary Appleby Blonsky, LCSW
• Rebecca J Bloodworth, CRNA
• Blossom Therapy
• Sandra Charlene Blount, OT
• Blue Rose Physical Therapy - West Little Rock LLC
• Annette Blue

• All providers in Little Rock, AR
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.