Individual provider Active NPI

Laurie Marie Vance, M.D.

  • Diagnostic Radiology Physician
  • Royal Oak, MI
National Provider Identifier
1891992574
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301090325 Issued in MI
Practice address
724 S Pleasant St
Royal Oak, MI 48067-3110
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301090325 MI Primary

Addresses

Primary practice location

724 S Pleasant St
Royal Oak, MI 48067-3110

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000395 MI Practitioner - Diagnostic Radiology 3971769266 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

16258 Fort St
Southgate, MI 48195-1401
Phone (734) 250-9062

21435 Greater Mack Ave
Saint Clair Shores, MI 48080-2304
Phone (586) 298-1927

26763 Ford Rd
Dearborn Heights, MI 48127-2840
Phone (313) 827-1022

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

29531 Plymouth Rd
Livonia, MI 48150-2125
Phone (734) 237-7037

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114

43821 Ford Rd
Canton, MI 48187-3122
Phone (800) 653-6865

6901 Orchard Lake Rd
West Bloomfield, MI 48322-3416
Phone (248) 671-3074

71050 Van Dyke Rd
Bruce TWP, MI 48065-3898
Phone (586) 277-0244

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2012 Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Feb 3, 2018 Accepting new patients
Southfield Radiology Associates, PLLC Diagnostic Radiology Current Accepting new patients
Henry Ford Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
Hurley Medical Center CurrentSince Feb 3, 2018 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: lvance13978@direct.hfhs.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1891992574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S PLEASANT ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673110",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "LAURIE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301090325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.