UROLOGY CLINIC NPI 1659113975

NPI Information

  • NPI: 1659113975
  • Provider Name: UROLOGY CLINIC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Other Name: THE UROLOGY CLINIC
  • CLIA Number: 13D2310441
  • Address: 875 S VANGUARD WAY STE 200D
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 782-6730

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NPI Details

UROLOGY CLINIC is an urology in Meridian, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY CLINIC NPI is 1659113975. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Urology Clinic.

The provider's business location address is:

875 S VANGUARD WAY STE 200D
MERIDIAN, ID
ZIP 83642-540
Phone: (208) 782-6730

The provider's authorized official is Michael Binns Taylor .
The authorized official title is Urologist and has the following contact phone number (208) 991-6232.

The CLIA number assigned to this NPI record is 13D2310441 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/7/2024 and was last updated on 8/6/2024.

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
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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