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Organization

Poplar Bluff Cancer & Radiation Specialist LLC

NPI Record: ActiveRadiology — Therapeutic Radiology
NPI1104963354
Poplar Bluff, Missouri

Provider's NPPES record last updated: May 24, 2010

Overview

Entity Type
Organization
NPI
1104963354
Primary Specialty
Radiology — Therapeutic Radiology
Practice Location
Poplar Bluff, Missouri
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Therapeutic Radiology

    Allopathic & Osteopathic Physicians

    Primary

    Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

    Taxonomy code 2085R0203X

Practice Locations

Practice Location

2620 N Westwood Blvd

Poplar Bluff, Missouri 63901-3396

Phone: (573) 686-5300

Record Information

Enumeration Date
January 30, 2007
Provider's NPPES Record Last Updated
May 24, 2010
NPISignal NPPES Dataset
August 2026

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