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MICHIGAN INSTITUTE OF UROLOGY PC NPI 1225277965


NPI Information

NPI: 1225277965
Provider Name: MICHIGAN INSTITUTE OF UROLOGY, PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 23D1077507

Address:
25500 MEADOWBROOK RD
STE 225
NOVI, MI
ZIP 48375
Phone: (248) 426-1300
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MICHIGAN INSTITUTE OF UROLOGY, PC is a durable medical equipment medical supplies in Novi, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MICHIGAN INSTITUTE OF UROLOGY, PC NPI is 1225277965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25500 MEADOWBROOK RD
STE 225
NOVI, MI
ZIP 48375-878
Phone: (248) 426-1300
Fax: (248) 426-1311

The provider's authorized official is Alphonse M Santino .
The authorized official title is President and has the following contact phone number (586) 771-4820.

The CLIA number assigned to this NPI record is 23D1077507 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/19/2009 and was last updated on 3/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10425310006MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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