Provider Demographics
NPI:1548557762
Name:LIMA CANCER AND BLOOD DISEASE CENTER INC
Entity Type:Organization
Organization Name:LIMA CANCER AND BLOOD DISEASE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-862-8297
Mailing Address - Street 1:375 N EASTOWN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45807
Mailing Address - Country:US
Mailing Address - Phone:419-234-5567
Mailing Address - Fax:
Practice Address - Street 1:375 N EASTOWN RD
Practice Address - Street 2:SUITE C
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807
Practice Address - Country:US
Practice Address - Phone:419-222-6595
Practice Address - Fax:419-222-6640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty