Organization Active NPI

Cancer & Leukemia Center, PLLC

  • Hematology & Oncology Physician
  • Sterling Heights, MI
National Provider Identifier
1629010921
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER & LEUKEMIA CENTER, PLLC
Practice address
44344 Dequindre Rd
Suite 260
Sterling Heights, MI 48314-1038
Phone
(586) 323-1500
Fax
(586) 323-1515
NPI assigned
Jun 12, 2006
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Karen L Moody
Title
Administrator
Phone
(586) 323-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

44344 Dequindre Rd
Suite 260
Sterling Heights, MI 48314-1038

Mailing address

44344 Dequindre Rd
Suite 260
Sterling Heights, MI 48314-1038
Phone (586) 323-1500

Other identifiers 2

IdentifierTypeStateIssuer
110F335760OtherMABCBSM
DE0432OtherMIRR MEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0996878Cancer & Leukemia Center Division of MHP44344 Dequindre Ste 260, Sterling Heights, MI 48314AccreditationApr 24, 2027

National Provider Directory

National Provider Directory

Locations

48801 Romeo Plank Rd
Ste 2B
Macomb, MI 48044
Phone (586) 323-1500

43455 Schoenherr Rd
Ste 2A
Sterling Heights, MI 48313
Phone (248) 451-1466

44344 Dequindre Rd
Ste 260
Sterling Heights, MI 48314
Phone (586) 323-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1629010921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 260",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-323-1500",
            "fax_number": "586-323-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 260",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-323-1500",
            "fax_number": "586-323-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER & LEUKEMIA CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-323-1500"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110F335760",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE0432",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.