PREMIER PHYSICIANS CENTERS, INC.
NPI 1073552329
Family Medicine in Lakewood, OH

Active since June 05, 2006CLIA Certified · 2 labs
14600 DETROIT AVE, SUITE 103, LAKEWOOD, OH 44107(216) 227-0717(216) 227-0827 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Physicians Centers, Inc. NPPES

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

PREMIER PHYSICIANS CENTERS, INC. (NPI 1073552329) is a healthcare organization registered as a family medicine in Lakewood, Ohio and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Mark E Wiedt, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073552329
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER PHYSICIANS CENTERS, INC.
Location Address14600 DETROIT AVE, SUITE 103Lakewood, OH 44107-4207
Mailing Address20525 Center Ridge Rd, Suite 220Rocky River, OH 44116-3437 · (440) 895-5021 · Fax (440) 895-5050
Fax(216) 227-0827
Organization SubpartNo
Authorized OfficialMark E WiedtChief Executive Officer · (440) 895-5021
Enumeration DateJune 5, 2006
Last NPPES UpdateFebruary 4, 2010
NPI 1073552329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14600 DETROIT AVE, Lakewood, OH 44107

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 36D0933149

Premier Physicians Center · Lakewood, OH
Active · expires Sep 7, 2027
CLIA Number36D0933149
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorDr. Mohamad S. Kalash
Laboratory Phone(216) 228-6565
Laboratory LocationPremier Physicians Center15644 Madison Avenue Room 101, Lakewood, OH 44107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2133737

Premier Physicians Centers, Inc · Rocky River, OH
Active · expires Jul 18, 2027
CLIA Number36D2133737
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorGasan Nemr
Laboratory Phone(216) 221-7642
Laboratory LocationPremier Physicians Centers, Inc21851 Center Ridge Road Suite 107, Rocky River, OH 44116
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pharmacist
14600 DETROIT AVE
LAKEWOOD, OH 44107
Family Medicine
14600 DETROIT AVE, SUITE 103
LAKEWOOD, OH 44107
Physician Assistant
14600 DETROIT AVE
LAKEWOOD, OH 44107
Family Medicine
14600 DETROIT AVE
LAKEWOOD, OH 44107
Pharmacist
14600 DETROIT AVE
LAKEWOOD, OH 44107

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 Premier Physicians Centers, Inc.'s NPI number?

The NPI number for Premier Physicians Centers, Inc. is 1073552329. It was assigned to this organization in the NPPES registry on June 5, 2006.

Where is Premier Physicians Centers, Inc. located?

Premier Physicians Centers, Inc. is located at 14600 Detroit Ave Suite 103, Lakewood, OH 44107. The listed phone number is (216) 227-0717.

What is Premier Physicians Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Premier Physicians Centers, Inc. 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 Premier Physicians Centers, Inc. was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.