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MICHIGAN INSTITUTE OF UROLOGY, PC
NPI 1053268508
Radiology - Diagnostic Radiology in Southfield, MI

Active since March 13, 2026CLIA 23D0696606 · Accreditation
29275 NORTHWESTERN HWY STE 120, SOUTHFIELD, MI 48034(586) 771-4820 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Institute Of Urology, Pc NPPES

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

MICHIGAN INSTITUTE OF UROLOGY, PC (NPI 1053268508) is a healthcare organization registered as a diagnostic radiology in Southfield, Michigan and active in the NPI registry since March 2026. The organization holds an CLIA Accreditation certificate valid through December 22, 2027, maintains a secondary practice location in Clinton Township, and lists Tracy Lee Mcauley, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1053268508
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMICHIGAN INSTITUTE OF UROLOGY, PC
Location Address29275 NORTHWESTERN HWY STE 120Southfield, MI 48034-1044
Mailing Address20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203 · (586) 771-4820 · Fax (586) 771-7960
Phone(586) 771-4820
Organization SubpartNo
Authorized OfficialTracy Lee McauleyCredentialing Supervisor · (586) 771-4820
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1053268508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedUrologyTaxonomy 208800000X
29275 NORTHWESTERN HWY STE 120, Southfield, MI 48034
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Secondary Practice Location 1

Location 143650 Garfield Rd Ste 102Clinton Township, MI 48038-7419 · Phone (586) 771-4820 ext. 2072

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Accreditation 23D0696606

Michigan Institute Of Urology · Saint Clair Shores, MI
Active · expires Dec 22, 2027
CLIA Number23D0696606
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. John C. Panos
Laboratory Phone(313) 884-2244
Laboratory LocationMichigan Institute Of Urology20952 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Michigan Institute Of Urology, PC's NPI number?

The NPI number for Michigan Institute Of Urology, PC is 1053268508. It was assigned to this organization in the NPPES registry on March 13, 2026.

Where is Michigan Institute Of Urology, PC located?

Michigan Institute Of Urology, PC is located at 29275 Northwestern Hwy Ste 120, Southfield, MI 48034. The listed phone number is (586) 771-4820.

What is Michigan Institute Of Urology, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Michigan Institute Of Urology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0696606) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michigan Institute Of Urology, PC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.