Michigan Institute Of Urology Pc

LBN: Michigan Institute Of Urology Pc
Michigan Institute Of Urology Pc is an health care organization with primary practice located at 20952 12 Mile Road 200, Saint Clair Shores MI 48081-3203. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Michigan Institute Of Urology Pc can be contacted via phone (586) 771-4820, or through Santino, Alphonse via phone (586) 771-4820.

Contact Information

Primary practice address
20952 12 Mile Road 200 Saint Clair Shores MI 48081-3203
Phone: (586) 771-4820
Fax: (586) 771-9616
Website:
Map and Directions
Authorized official contact:
Name: Santino, Alphonse Doctor of Medicine (MD)
Phone: (586) 771-4820

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1730393927
LBN Legal business name Michigan Institute Of Urology Pc
DBA Doing business as
Authorized official Santino, Alphonse Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 2007
Last updated May 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730393927 NPPES
Michigan Other 340E062730 BCBSM
Michigan Other CB9133 BCBSM

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