CAPITAL UROLOGICAL ASSOCIATES LABORATORY (NPI# 1609163088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609163088 |
| Entity Type | Organization |
| Organization Name | CAPITAL UROLOGICAL ASSOCIATES LABORATORY |
| Practice Address |
2090 Jolly Rd Ste 150 Okemos MI 48864-6036 |
| Mailing Address |
Po Box 1070 Okemos MI 48805-1070 |
| Practice Telephone | 5173493900 |
| Practice Fax Number | 5173493939 |
| Mailing Telephone | 5173493900 |
| Mailing Fax Number | 5173493939 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | ERIC STOCKALL (OWNER) |
| Authorized Official Telephone | 5173493900 |
| Is Organization Subpart | Y |
| Parent Organization Name | ERIC STOCKALL MD PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 4301046439 | MI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CLIA | 23D0992826 | 01 |
| Street Address |
2090 JOLLY RD STE 150 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740412055 | Adam Francis Montero | Physician Assistant | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2009-08-20 |
| 1871139980 | Cynthia Anne Stuard | Nurse Practitioner | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2019-11-24 |
| 1497303440 | Marisa Parker Yellin | Physician Assistant | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2019-09-03 |
| 1033637244 | Joanna Soltis | Urology | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2017-09-07 |
| 1407281678 | Compass Healthcare Plc | Urology | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | 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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.