BAE CEDAR RAPIDS
NPI 1003558057
Clinic/Center - Multi-Specialty in Cedar Rapids, IA

Q: What is Premise Health Of Iowa Medical P C's NPI number?

The NPI number for Premise Health Of Iowa Medical P C is 1003558057. It was assigned to this organization in the NPPES registry on April 11, 2022. The provider is doing business as Bae Cedar Rapids.

Q: What is Premise Health Of Iowa Medical P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since April 11, 2022CLIA Certified · 2 labs

7825 6TH ST SW, CEDAR RAPIDS, IA 52404(615) 468-3188 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Apr 11, 2022 (2 updates tracked since 2022).

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About Bae Cedar Rapids NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAE CEDAR RAPIDS (NPI 1003558057) is a healthcare organization registered as a multi-specialty in Cedar Rapids, Iowa and active in the NPI registry since April 2022. The organization holds 2 active CLIA laboratory certificates and lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1003558057

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF IOWA MEDICAL P C

Location Address7825 6TH ST SWCedar Rapids, IA 52404-7012

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(615) 468-3188

Organization SubpartNo

Authorized OfficialJonathan LeizmanPresident · (615) 468-6270

Enumeration DateApril 11, 2022

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1003558057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

7825 6TH ST SW, Cedar Rapids, IA 52404

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Other Names 1

Doing Business AsBae Cedar Rapids

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2264284

Premise Health Of Iowa Medical, PC · Cedar Rapids, IA

Active · expires Jul 11, 2028

CLIA Number16D2264284

Laboratory TypePhysician Office

Certificate Effective DateJuly 12, 2026

Certificate Expiration DateJuly 11, 2028

Laboratory DirectorAlbert Rielly

Laboratory Phone(319) 640-1872

Laboratory LocationPremise Health Of Iowa Medical, PC7825 6th Street SW, Cedar Rapids, IA 52404

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2162591

Premise Health Of Iowa Medical, PC · Cedar Rapids, IA

Active · expires Feb 25, 2027

CLIA Number16D2162591

Laboratory TypePhysician Office

Certificate Effective DateFebruary 26, 2025

Certificate Expiration DateFebruary 25, 2027

Laboratory DirectorJohn Machuta

Laboratory Phone(319) 295-4551

Laboratory LocationPremise Health Of Iowa Medical, PC400 Collins Rd NE, Cedar Rapids, IA 52498

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Iowa Medical P C's NPI number?

The NPI number for Premise Health Of Iowa Medical P C is 1003558057. It was assigned to this organization in the NPPES registry on April 11, 2022. The provider is doing business as Bae Cedar Rapids.

Where is Premise Health Of Iowa Medical P C located?

Premise Health Of Iowa Medical P C is located at 7825 6th St SW, Cedar Rapids, IA 52404. The listed phone number is (615) 468-3188.

What is Premise Health Of Iowa Medical P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Iowa Medical P C hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Iowa Medical P C was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.