ST LUKES CLINIC - CALDWELL UROLOGY
NPI 1952604563
Urology in Caldwell, ID
About St Lukes Clinic - Caldwell Urology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LUKES CLINIC - CALDWELL UROLOGY (NPI 1952604563) is a healthcare organization registered as an urology in Caldwell, Idaho and active in the NPI registry since December 2010. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jeff Taylor, System Vp Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Group Practice 1
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
- 13D0674117
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- GREGORY T. ADAMS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to St Lukes Clinic - Caldwell Urology 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.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952604563, enumerated as an "organization" on December 21, 2010.
The provider is located at 1620 S KIMBALL AVE CALDWELL, ID 83605 and the phone number is (208) 454-9181.
Urology with taxonomy code 208800000X.