MICHIGAN INSTITUTE OF UROLOGY PC
NPI 1275623068
Durable Medical Equipment & Medical Supplies in Clarkston, MI

Active since October 13, 2006CLIA 23D0927487 · Microscopy
5701 BOW POINTE DR, SUITE 250, CLARKSTON, MI 48346(248) 620-6660(248) 620-6662 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1275623068) is a healthcare organization registered as a durable medical equipment & medical supplies in Clarkston, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through August 17, 2027 and lists Alphonse M. Santino, President, as its authorized official.

NPPES Registry Identity

NPI1275623068
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMICHIGAN INSTITUTE OF UROLOGY PC
Location Address5701 BOW POINTE DR, SUITE 250Clarkston, MI 48346-3163
Mailing Address20952 E 12 Mile Rd, Suite 200Saint Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620
Fax(248) 620-6662
Organization SubpartYes
Authorized OfficialAlphonse M. SantinoPresident · (586) 771-4820
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1275623068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedUrologyTaxonomy 208800000X
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X
Also ListedNurse PractitionerTaxonomy 363L00000X
5701 BOW POINTE DR, Clarkston, MI 48346

Other Identifiers 3

Other340E062730MI · Bcbsm
OtherCB9133MI · Railroad Medicare
Other540E016120MI · Bcbsm Dme

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 MULTIPLE 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 for Provider-Performed Microscopy Procedures (PPMP) 23D0927487

Michigan Institute Of Urology · Clarkston, MI
Active · expires Aug 17, 2027
CLIA Number23D0927487
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorMarko R. Gudziak
Laboratory Phone(586) 443-4272
Laboratory LocationMichigan Institute Of Urology5701 Bow Pointe Drive, Clarkston, MI 48346
CLIA data matches this NPI record on: Address Name
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 20

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

Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Dermatology
5701 BOW POINTE DR, SUITE 215
CLARKSTON, MI 48346
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Family Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Nurse Practitioner (Psychiatric/Mental Health)
5701 BOW POINTE DR, SUITE 225
CLARKSTON, MI 48346
Internal Medicine (Pulmonary Disease)
5701 BOW POINTE DR, STE 365
CLARKSTON, MI 48346
Internal Medicine
5701 BOW POINTE DR, SUITE 120
CLARKSTON, MI 48346
Internal Medicine (Gastroenterology)
5701 BOW POINTE DR, SUITE 370
CLARKSTON, MI 48346

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 1275623068. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Michigan Institute Of Urology PC located?

Michigan Institute Of Urology PC is located at 5701 Bow Pointe Dr Suite 250, Clarkston, MI 48346. The listed phone number is (248) 620-6660.

What is Michigan Institute Of Urology PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0927487) is associated with this NPI, valid through August 17, 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 January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.