MICHIGAN INSTITUTE OF UROLOGY PC NPI 1598865735

NPI Information

  • NPI: 1598865735
  • Provider Name: MICHIGAN INSTITUTE OF UROLOGY PC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • CLIA Number: 23D2059316
  • Address: 25 MICHIGAN ST NE
    SUITE 3300
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 459-4171

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NPI Details

MICHIGAN INSTITUTE OF UROLOGY PC is a non pharmacy dispensing site in Grand Rapids, MI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MICHIGAN INSTITUTE OF UROLOGY PC NPI is 1598865735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 MICHIGAN ST NE
SUITE 3300
GRAND RAPIDS, MI
ZIP 49503-515
Phone: (616) 459-4171
Fax: (616) 459-0044

The provider's authorized official is Debra Reginaldo .
The authorized official title is Am and has the following contact phone number (586) 771-4820.

The CLIA number assigned to this NPI record is 23D2059316 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/25/2006 and was last updated on 1/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMICHIGANNo
2332900000XNon-Pharmacy Dispensing SiteYes

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: 3/30/2025

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