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US10 MICHELIN OCCUPATIONAL HEATH CLINIC
NPI 1063846913
Clinic/Center - Occupational Medicine in Anderson, SC

Active since August 28, 2013CLIA 42D2062821 · Waiver
10 BIB WAY, ANDERSON, SC 29626(864) 964-6100(864) 964-6101 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2022, Jul 14, 2022 (2 updates tracked since 2022).

About Us10 Michelin Occupational Heath Clinic NPPES

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

US10 MICHELIN OCCUPATIONAL HEATH CLINIC (NPI 1063846913) is a healthcare organization registered as an occupational medicine in Anderson, South Carolina and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1063846913
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Location Address10 BIB WAYAnderson, SC 29626-6047
Mailing Address5500 Maryland WayBrentwood, TN 37027-4948 · (864) 964-6100 · Fax (864) 964-6101
Phone(864) 964-6100
Fax(864) 964-6101
Organization SubpartNo
Authorized OfficialJonathan LeizmanPresident · (216) 479-9063
Enumeration DateAugust 28, 2013
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1063846913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
10 BIB WAY, Anderson, SC 29626
Open in Google Maps ↗

Other Names 1

Doing Business AsUs10 Michelin Occupational Heath Clinic

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 42D2062821

Premise Health Of South Carolina Medical, PC · Anderson, SC
Active · expires Jul 22, 2027
CLIA Number42D2062821
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorDr. Darly Bernardo
Laboratory Phone(864) 964-6100
Laboratory LocationPremise Health Of South Carolina Medical, PC10 Bib Way, Anderson, SC 29626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
General Practice
10 BIB WAY
ANDERSON, SC 29626
Anderson County (864) 332-1793
EVERSIDE HEALTH LLC
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
10 BIB WAY
ANDERSON, SC 29626
Anderson County (704) 936-5546
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC
Clinic/Center (Multi-Specialty)
10 BIB WAY
ANDERSON, SC 29626
Anderson County (864) 332-1793

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 South Carolina Medical, P.C's NPI number?

The NPI number for Premise Health Of South Carolina Medical, P.C is 1063846913. It was assigned to this organization in the NPPES registry on August 28, 2013.

Where is Premise Health Of South Carolina Medical, P.C located?

Premise Health Of South Carolina Medical, P.C is located at 10 Bib Way, Anderson, SC 29626. The listed phone number is (864) 964-6100.

What is Premise Health Of South Carolina Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of South Carolina Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2062821) is associated with this NPI, valid through July 22, 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 South Carolina Medical, P.C was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.