MICHIGAN INSTITUTE OF UROLOGY PC
NPI 1114874633
Urology in Grand Rapids, MI
NPI Status: Active since March 13, 2026
Contact Information
4047 E HILLS CT SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 956-9577
Fax: (616) 956-5988
- Organization
- Urology
- CLIA Number: 23D0380898
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
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 Grand Rapids, Michigan operating as a Urology. The healthcare provider is registered in the NPI registry with number 1114874633 assigned on March 2026. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Mitchell Hollander (Authorized Official)
- NPI
- 1114874633
- Provider Name
- MICHIGAN INSTITUTE OF UROLOGY PC
- Entity Type
- Organization
- Location Address
- 4047 E HILLS CT SE GRAND RAPIDS, MI 49546
- Location Phone
- (616) 956-9577
- Location Fax
- (616) 956-5988
- Mailing Address
- 4047 E HILLS CT SE GRAND RAPIDS, MI 49546
- Mailing Phone
- (616) 956-9577
- Mailing Fax
- (616) 956-5988
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2026
- Last Update Date
- 03-17-2026
- Code Navigator
Location Map
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
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
- 23D0380898
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- KENNETH F. SHOCKLEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Michigan Institute Of Urology Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1114874633, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114874633, enumerated as an "organization" on March 13, 2026.
The provider is located at 4047 E HILLS CT SE GRAND RAPIDS, MI 49546 and the phone number is (616) 956-9577.
Urology with taxonomy code 208800000X.
