UROLOGY SPECIALISTS PC NPI 1003027079

Urology in Huntsville, AL

NPI 1003027079 Organization Urology CLIA Number 01D0303287 CLIA Certificate of Compliance

About UROLOGY SPECIALISTS PC

Urology Specialists Pc is a provider established in Huntsville, Alabama specializing in urology. The NPI number of Urology Specialists Pc is 1003027079 and was assigned on May 2007. The practitioner's primary taxonomy code is 208800000X with license number 00013315 (AL). The provider is registered as an organization and their NPI record was last updated 13 years ago. Urology Specialists Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Julie Hovey (Office Manager)

The CLIA number of Urology Specialists Pc is 01D0303287 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Urology Specialists Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1003027079

Provider NameUROLOGY SPECIALISTS PC
Provider Location Address4704 WHITESBURG DR S SUITE 100 HUNTSVILLE, AL 35802
Provider Mailing Address4704 WHITESBURG DRIVE SUITE 100 HUNTSVILLE, AL 35802
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-24-2007
Last Update Date05-30-2008


Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.00013315
License StateAL
Taxonomy DescriptionA 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.

Business Address

UROLOGY SPECIALISTS PC
4704 WHITESBURG DR S
SUITE 100
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 882-3603
Fax: (256) 882-9323

Get Directions


Mailing Address

UROLOGY SPECIALISTS PC
4704 WHITESBURG DRIVE
SUITE 100
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 882-3603
Fax: (256) 882-9323



Authorized Official

Authorized Official NameMRS. JULIE HOVEY
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(256) 882-3603

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003027079 is:

CLIA Number01D0303287
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C76426MEDICARE UPIN (02)AL
C76418MEDICARE UPIN (02)AL
E75372MEDICARE UPIN (02)AL
H38132MEDICARE UPIN (02)AL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013969039DR. VICTOR K JIMINEZ M.D.
Individual
Urology4704 WHITESBURG DR S SUITE 100
HUNTSVILLE, AL 35802
(256) 882-3605
1477507705DR. MICHAEL W BROWN M.D.
Individual
Urology4704 WHITESBURG DR S SUITE 100
HUNTSVILLE, AL 35802
(256) 882-3605
1629022975DR. JAMES A FLATT M.D.
Individual
Urology4704 WHITESBURG DR S SUITE 100
HUNTSVILLE, AL 35802
(256) 882-3605

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.