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TRI STATE UROLOGIC SERVICES PSC INC
NPI 1033302054
Urology in Middletown, OH

Active since August 22, 2007CLIA 36D0862153 · Microscopy
200 MEDICAL CENTER DR STE 500, MIDDLETOWN, OH 45005(513) 841-7777(513) 423-2004 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Apr 2, 2024, Jan 22, 2020 (3 updates tracked since 2020).

About Tri State Urologic Services Psc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI STATE UROLOGIC SERVICES PSC INC (NPI 1033302054) is a healthcare organization registered as an urology in Middletown, Ohio and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Earl L Walz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033302054
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTRI STATE UROLOGIC SERVICES PSC INC
Location Address200 MEDICAL CENTER DR STE 500Middletown, OH 45005-5183
Mailing Address2000 Joseph E Sanker BlvdCincinnati, OH 45212-1979 · (513) 841-7400 · Fax (513) 841-7402
Phone(513) 841-7777
Fax(513) 423-2004
Organization SubpartNo
Authorized OfficialEarl L WalzCeo · (513) 841-7400
Enumeration DateAugust 22, 2007
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1033302054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
200 MEDICAL CENTER DR STE 500, Middletown, OH 45005
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Other Identifiers 2

Medicaid0276946OH
OtherCC2433OH · Railroad Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0862153

Tri State Urology Dba The Urology Group · Middletown, OH
Active · expires Aug 31, 2026
CLIA Number36D0862153
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDavid C. Miller
Laboratory Phone(513) 841-7780
Laboratory LocationTri State Urology Dba The Urology Group200 Medical Center Drive Suite 500, Middletown, OH 45005
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN JOHN WALSH M.D.
Urology
200 MEDICAL CENTER DR STE 500
MIDDLETOWN, OH 45005
Warren County (513) 841-7777
COOPER ROTH BENSON MD
Urology
200 MEDICAL CENTER DR STE 500
MIDDLETOWN, OH 45005
Warren County (513) 423-2244
DAVID CHARLES MILLER M.D.
Urology
200 MEDICAL CENTER DR STE 500
MIDDLETOWN, OH 45005
Warren County (513) 841-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri State Urologic Services Psc Inc's NPI number?

The NPI number for Tri State Urologic Services Psc Inc is 1033302054. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Tri State Urologic Services Psc Inc located?

Tri State Urologic Services Psc Inc is located at 200 Medical Center Dr Ste 500, Middletown, OH 45005. The listed phone number is (513) 841-7777.

What is Tri State Urologic Services Psc Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Tri State Urologic Services Psc Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0862153) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri State Urologic Services Psc Inc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.