Organization · Type 2 NPI
Michigan Institute of Urology Laboratory
Clinical Medical Laboratory · St. Clair Shores, MI
Practice location
20952 E 12 Mile Rd Ste 200
St. Clair Shores, MI 48081-3203
Fax (586) 771-6620
Mailing address
20952 E 12 Mile Rd, Suite 200
St. Clair Shores, MI 48081-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | 4301070286 (MI) |
Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…
8 other providers at this address
- Carrie L. AndersonFamily Nurse Practitioner St. Clair Shores, MI NPI 1033515036
- Gabriela Mazur, DOUrology Physician St. Clair Shores, MI NPI 1962085639
- Jack Trebelhorn, MDUrology Physician St. Clair Shores, MI NPI 1619331998
- Jacob Jewell, FNP-CFamily Nurse Practitioner St. Clair Shores, MI NPI 1902419104
- John C. Panos, MDAnatomic Pathology & Clinical Pathology Physician St. Clair Shores, MI NPI 1346293412
- John Vollmer, PA-CPhysician Assistant St. Clair Shores, MI NPI 1851117741
- Mahdi Bazzi, MDUrology Physician St. Clair Shores, MI NPI 1477113629
- Robert Lewis Elgin, DOUrology Physician St. Clair Shores, MI NPI 1053674101
About NPI 1245476670
Michigan Institute of Urology Laboratory's National Provider Identifier is 1245476670, issued on Jan 7, 2009. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Sep 10, 2019.