BAE SYSTEMS OCCUPATIONAL HEALTH CENTER
NPI 1063151710
Clinic/Center - Multi-Specialty in Austin, TX

Q: What is Premise Health Of Texas Medical, P.A's NPI number?

The NPI number for Premise Health Of Texas Medical, P.A is 1063151710. It was assigned to this organization in the NPPES registry on June 1, 2022. The provider is doing business as Bae Systems Occupational Health Center.

Q: What is Premise Health Of Texas Medical, P.A's specialty?

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

Active since June 01, 2022CLIA 45D1065023 · Waiver

825 EAST HOWARD LANE, AUSTIN, TX 78753(512) 929-4499(512) 929-4990 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bae Systems Occupational Health Center NPPES

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

BAE SYSTEMS OCCUPATIONAL HEALTH CENTER (NPI 1063151710) is a healthcare organization registered as a multi-specialty in Austin, Texas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1063151710

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF TEXAS MEDICAL, P.A

Location Address825 EAST HOWARD LANEAustin, TX 78753

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(512) 929-4499

Fax(512) 929-4990

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateJune 1, 2022

Last NPPES UpdateAugust 23, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1063151710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM1300X

825 EAST HOWARD LANE, Austin, TX 78753

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Other Names 1

Doing Business AsBae Systems Occupational Health Center

CLIA Laboratory Certificates CMS CLIA

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 45D1065023

Premise Health Of Texas Medical, PA · Austin, TX

Active · expires Feb 19, 2027

CLIA Number45D1065023

Laboratory TypePhysician Office

Certificate Effective DateFebruary 20, 2025

Certificate Expiration DateFebruary 19, 2027

Laboratory DirectorMike Willoughby

Laboratory Phone(512) 929-4995

Laboratory LocationPremise Health Of Texas Medical, PA825 East Howard Lane, Austin, TX 78753

CLIA data matches this NPI record on: Address 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 Texas Medical, P.A's NPI number?

The NPI number for Premise Health Of Texas Medical, P.A is 1063151710. It was assigned to this organization in the NPPES registry on June 1, 2022. The provider is doing business as Bae Systems Occupational Health Center.

Where is Premise Health Of Texas Medical, P.A located?

Premise Health Of Texas Medical, P.A is located at 825 East Howard Lane, Austin, TX 78753. The listed phone number is (512) 929-4499.

What is Premise Health Of Texas Medical, P.A's specialty?

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

Does Premise Health Of Texas Medical, P.A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1065023) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Texas Medical, P.A was last updated on August 23, 2022. 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.