MICHIGAN INSTITUTE OF UROLOGY, PC
NPI 1053268508
Radiology - Diagnostic Radiology in Southfield, MI
NPI Status: Active since March 13, 2026
Contact Information
29275 NORTHWESTERN HWY STE 120
SOUTHFIELD, MI
ZIP 48034
Phone: (586) 771-4820
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 23D0696606
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2027
About MICHIGAN INSTITUTE OF UROLOGY, PC
This page provides the complete NPI Profile along with additional information for Michigan Institute Of Urology, Pc, a provider established in Southfield, Michigan operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1053268508 assigned on March 2026. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated March 2026. Michigan Institute Of Urology, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tracy Lee Mcauley (Credentialing Supervisor)
- NPI
- 1053268508
- Provider Name
- MICHIGAN INSTITUTE OF UROLOGY, PC
- Entity Type
- Organization
- Location Address
- 29275 NORTHWESTERN HWY STE 120 SOUTHFIELD, MI 48034
- Location Phone
- (586) 771-4820
- Mailing Address
- 20952 E 12 MILE RD STE 200 SAINT CLAIR SHORES, MI 48081
- Mailing Phone
- (586) 771-4820
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2026
- Last Update Date
- 03-13-2026
- Code Navigator
Location Map
Secondary Locations
- 43650 Garfield Rd Ste 102
Clinton Township, MI 48038
(586) 771-4820
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208800000X | Allopathic & Osteopathic Physicians | Urology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 this NPI number is:
- CLIA Number
- 23D0696606
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- DR. JOHN C. PANOS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Michigan Institute Of Urology, Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053268508, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053268508, enumerated as an "organization" on March 13, 2026.
The provider is located at 29275 NORTHWESTERN HWY STE 120 SOUTHFIELD, MI 48034 and the phone number is (586) 771-4820.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
