MICHIGAN INSTITUTE OF UROLOGY PC
NPI 1114874633
Urology in Grand Rapids, MI

Q: What is Michigan Institute Of Urology PC's NPI number?

The NPI number for Michigan Institute Of Urology PC is 1114874633. It was assigned to this organization in the NPPES registry on March 13, 2026. The provider is doing business as Michigan Urological Clinic.

Q: What is Michigan Institute Of Urology PC's specialty?

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

Active since March 13, 2026CLIA 23D0380898 · Microscopy

4047 E HILLS CT SE, GRAND RAPIDS, MI 49546(616) 956-9577(616) 956-5988 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Mar 13, 2026 (2 updates tracked since 2026).

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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 1114874633), doing business as Michigan Urological Clinic, is a healthcare organization registered as an urology in Grand Rapids, Michigan and active in the NPI registry since March 2026. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Mitchell Hollander, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114874633

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameMICHIGAN INSTITUTE OF UROLOGY PC

Location Address4047 E HILLS CT SEGrand Rapids, MI 49546-6249

Mailing Address4047 E Hills Ct SeGrand Rapids, MI 49546-6249 · (616) 956-9577 · Fax (616) 956-5988

Phone(616) 956-9577

Fax(616) 956-5988

Organization SubpartNo

Authorized OfficialMitchell HollanderAuthorized Official · (616) 956-9577

Enumeration DateMarch 13, 2026

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1114874633 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

4047 E HILLS CT SE, Grand Rapids, MI 49546

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Other Names 1

Doing Business AsMichigan Urological Clinic

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) 23D0380898

Michigan Institute Of Urology - Muc Gr · Grand Rapids, MI

Active · expires Aug 31, 2026

CLIA Number23D0380898

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorKenneth F. Shockley

Laboratory Phone(616) 956-9577

Laboratory LocationMichigan Institute Of Urology - Muc Gr4047 E Hills Court SE, Grand Rapids, MI 49546

CLIA data matches this NPI record on: Address Name Phone

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 2

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

CHRISTOPHER MICHEAL LAFLURE PA-C

Physician Assistant (Medical)

4047 E HILLS CT SE
GRAND RAPIDS, MI 49546

Kent County (616) 956-9577

KENNETH F SHOCKLEY D.O.

Urology

4047 E HILLS CT SE
GRAND RAPIDS, MI 49546

Kent County (616) 956-9577

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 1114874633. It was assigned to this organization in the NPPES registry on March 13, 2026. The provider is doing business as Michigan Urological Clinic.

Where is Michigan Institute Of Urology PC located?

Michigan Institute Of Urology PC is located at 4047 E Hills Ct SE, Grand Rapids, MI 49546. The listed phone number is (616) 956-9577.

What is Michigan Institute Of Urology PC's specialty?

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

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0380898) 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 Michigan Institute Of Urology PC was last updated on March 17, 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.