Organization Active NPI

Laurel Cancer Care, LLC

  • Radiation Oncology Physician
  • Laurel, MS
National Provider Identifier
1891563334
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
LAUREL CANCER CARE, LLC
Practice address
127 S 13TH Ave
Laurel, MS 39440-4111
Phone
(601) 425-2999
Fax
(601) 425-3286
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Ladonna Breland
Title
Administrative Leader
Phone
(601) 425-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

127 S 13TH Ave
Laurel, MS 39440-4111

Mailing address

127 S 13TH Ave
Laurel, MS 39440-4111
Phone (601) 425-2999

National Provider Directory

National Provider Directory

Locations

127 S 13th Ave
Laurel, MS 39440
Phone (601) 425-2999

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1891563334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404111",
            "telephone_number": "601-425-2999",
            "fax_number": "601-425-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404111",
            "telephone_number": "601-425-2999",
            "fax_number": "601-425-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CANCER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "BRELAND",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "ADMINISTRATIVE LEADER",
        "authorized_official_telephone_number": "601-425-9999"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.