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UROLOGIC SURGERY OF NWI, PC
NPI 1770448607
Non-Pharmacy Dispensing Site in Valparaiso, IN

Active since December 23, 2025CLIA 15D2319148 · Waiver
1101 GLENDALE BLVD STE 107A, VALPARAISO, IN 46383(917) 693-6363(219) 286-6909 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Urologic Surgery Of Nwi, Pc NPPES

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

UROLOGIC SURGERY OF NWI, PC (NPI 1770448607) is a healthcare organization registered as a non-pharmacy dispensing site in Valparaiso, Indiana and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Genri Pinkhasov, President, as its authorized official.

NPPES Registry Identity

NPI1770448607
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameUROLOGIC SURGERY OF NWI, PC
Location Address1101 GLENDALE BLVD STE 107AValparaiso, IN 46383-3775
Mailing Address1101 Glendale Blvd Ste 107aValparaiso, IN 46383-3775 · (917) 693-6363 · Fax (219) 286-6909
Phone(917) 693-6363
Fax(219) 286-6909
Organization SubpartNo
Authorized OfficialGenri PinkhasovPresident · (917) 693-6363
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1770448607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1101 GLENDALE BLVD STE 107A, Valparaiso, IN 46383
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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 15D2319148

Urologic Surgery Of Nwi, PC · Valparaiso, IN
Active · expires Feb 24, 2027
CLIA Number15D2319148
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorGenri Pinkhasov
Laboratory Phone(219) 286-6888
Laboratory LocationUrologic Surgery Of Nwi, PC1101 Glendale Blvd Unit 107A, Valparaiso, IN 46383
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Surgery Of Nwi, PC's NPI number?

The NPI number for Urologic Surgery Of Nwi, PC is 1770448607. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Urologic Surgery Of Nwi, PC located?

Urologic Surgery Of Nwi, PC is located at 1101 Glendale Blvd Ste 107A, Valparaiso, IN 46383. The listed phone number is (917) 693-6363.

What is Urologic Surgery Of Nwi, PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Urologic Surgery Of Nwi, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2319148) is associated with this NPI, valid through February 24, 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 Surgery Of Nwi, PC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.