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UROLOGIC SPECIALISTS OF OKLAHOMA INC
NPI 1619789310
Urology in Owasso, OK

Active since January 21, 2025CLIA 37D2325737 · Microscopy
12455 E 100TH ST N STE 280, OWASSO, OK 74055(918) 505-2634(918) 248-0134 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Urologic Specialists Of Oklahoma Inc NPPES

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

UROLOGIC SPECIALISTS OF OKLAHOMA INC (NPI 1619789310) is a healthcare organization registered as an urology in Owasso, Oklahoma and active in the NPI registry since January 2025. The organization holds a CLIA Microscopy certificate valid through June 18, 2027 and lists Shaun Gobind Singh Grewal, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619789310
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGIC SPECIALISTS OF OKLAHOMA INC
Location Address12455 E 100TH ST N STE 280Owasso, OK 74055-4675
Mailing Address10901 E 48th StTulsa, OK 74146-5830 · (918) 749-8765 · Fax (918) 392-2155
Phone(918) 505-2634
Fax(918) 248-0134
Organization SubpartNo
Authorized OfficialShaun Gobind Singh GrewalAuthorized Official · (918) 749-8765
Enumeration DateJanuary 21, 2025
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1619789310 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.
12455 E 100TH ST N STE 280, Owasso, OK 74055
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Other Names 1

Other NameUrologic Specialists Owasso

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 for Provider-Performed Microscopy Procedures (PPMP) 37D2325737

Urologic Specialists Of Oklahoma-Owasso · Owasso, OK
Active · expires Jun 18, 2027
CLIA Number37D2325737
Laboratory TypePrivate
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorJack Steven Miller
Laboratory Phone(918) 505-2634
Laboratory LocationUrologic Specialists Of Oklahoma-Owasso12455 E 100th St N, Ste 380, Owasso, OK 74055
CLIA data matches this NPI record on: 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

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

ERIN TERESA FLEMING ARNP
Nurse Practitioner (Pediatrics)
12455 E 100TH ST N STE 280
OWASSO, OK 74055
Tulsa County (918) 274-9700

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 Specialists Of Oklahoma Inc's NPI number?

The NPI number for Urologic Specialists Of Oklahoma Inc is 1619789310. It was assigned to this organization in the NPPES registry on January 21, 2025. The provider is also known as Urologic Specialists Owasso.

Where is Urologic Specialists Of Oklahoma Inc located?

Urologic Specialists Of Oklahoma Inc is located at 12455 E 100th St N Ste 280, Owasso, OK 74055. The listed phone number is (918) 505-2634.

What is Urologic Specialists Of Oklahoma Inc's specialty?

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

Does Urologic Specialists Of Oklahoma Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2325737) is associated with this NPI, valid through June 18, 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 Specialists Of Oklahoma Inc was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.