Active NPI
Capital Urological Associates Laboratory
- Clinical Medical Laboratory
- Okemos, MI
National Provider Identifier
1609163088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 4301046439
- Legal business name
- CAPITAL UROLOGICAL ASSOCIATES LABORATORY
- Practice address
- 2090 Jolly Rd Ste 150
Okemos, MI 48864-6036 - Phone
- (517) 349-3900
- Fax
- (517) 349-3939
- NPI assigned
- Jul 6, 2011
- Organization subpart
- Yes
- Parent organization
- ERIC STOCKALL MD PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Stockall
- Title
- Owner
- Phone
- (517) 349-3900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 4301046439 | MI | Primary |
Addresses
Primary practice location
2090 Jolly Rd Ste 150
Okemos, MI 48864-6036
Mailing address
PO Box 1070
Okemos, MI 48805-1070
Phone (517) 349-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23D0992826 | Other | MI | CLIA |
National Provider Directory
National Provider Directory- Part of
- Capital Urological Associates Laboratory
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Urology Physician
- Okemos, MI
- NPI 1922106103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Okemos, MI
- NPI 1972560415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1609163088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1070",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488051070",
"telephone_number": "517-349-3900",
"fax_number": "517-349-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 JOLLY RD STE 150",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488646036",
"telephone_number": "517-349-3900",
"fax_number": "517-349-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL UROLOGICAL ASSOCIATES LABORATORY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ERIC STOCKALL MD PLLC",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "STOCKALL",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-349-3900"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MI",
"license": "4301046439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "23D0992826",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.