UROLOGIC INTEGRATED CARE
NPI 1104392232
Urology in Gainesville, FL

Active since October 16, 2018CLIA 10D2160125 · Waiver
1201 NW 64TH TER, GAINESVILLE, FL 32605(352) 204-5400(352) 204-5405 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2018, Oct 16, 2018 (2 updates tracked since 2018).

About Urologic Integrated Care NPPES

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

UROLOGIC INTEGRATED CARE (NPI 1104392232) is a healthcare organization registered as an urology in Gainesville, Florida and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Victoria Y Bird, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104392232
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGIC INTEGRATED CARE LLC
Location Address1201 NW 64TH TERGainesville, FL 32605-4220
Mailing Address5745 Sw 75th St # 507Gainesville, FL 32608-5504 · (352) 204-5400 · Fax (352) 204-5405
Fax(352) 204-5405
Organization SubpartNo
Authorized OfficialVictoria Y BirdMedical Director · (352) 278-5132
Enumeration DateOctober 16, 2018
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
NPI 1104392232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1201 NW 64TH TER, Gainesville, FL 32605

Other Names 1

Doing Business AsUrologic Integrated Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Waiver 10D2160125

Urologic Integrated Care LLC Dba Urologic Integrated Care · Gainesville, FL
Active · expires Jan 3, 2027
CLIA Number10D2160125
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorVictoria Y. Bird
Laboratory Phone(352) 204-5400
Laboratory LocationUrologic Integrated Care LLC Dba Urologic Integrated Care1201 NW 64th Ter, Gainesville, FL 32605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1201 NW 64TH TER, SUITE B
GAINESVILLE, FL 32605

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 Urologic Integrated Care LLC's NPI number?

The NPI number for Urologic Integrated Care LLC is 1104392232. It was assigned to this organization in the NPPES registry on October 16, 2018. The provider is doing business as Urologic Integrated Care.

Where is Urologic Integrated Care LLC located?

Urologic Integrated Care LLC is located at 1201 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 204-5400.

What is Urologic Integrated Care LLC's specialty?

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

Does Urologic Integrated Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2160125) is associated with this NPI, valid through January 3, 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 Urologic Integrated Care LLC was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.