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UROLOGY CENTER OF IOWA PLLC NPI 1689210155


NPI Information

NPI: 1689210155
Provider Name: UROLOGY CENTER OF IOWA PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 16D2183029

Address:
12129 UNIVERSITY AVE
CLIVE, IA
ZIP 50325
Phone: (515) 400-3550
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UROLOGY CENTER OF IOWA PLLC is an urology in Clive, IA. The provider is 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. UROLOGY CENTER OF IOWA PLLC NPI is 1689210155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12129 UNIVERSITY AVE
CLIVE, IA
ZIP 50325-287
Phone: (515) 400-3550

The provider's authorized official is Mark Kellerman .
The authorized official title is Managing Member/partner and has the following contact phone number (515) 249-1610.

The CLIA number assigned to this NPI record is 16D2183029 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/20/2019 and was last updated on 3/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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