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PREMISE HEALTH OF MICHIGAN MEDICAL PC
NPI 1083380497
Clinic/Center - Multi-Specialty in Monroe, MI

Active since August 17, 2021CLIA 23D2036188 · Waiver
1 LYMAN E. HOYT DRIVE, MONROE, MI 48161(734) 241-7242(520) 356-5389 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Aug 19, 2022, Aug 17, 2021 (3 updates tracked since 2021).

About Premise Health Of Michigan Medical Pc NPPES

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

PREMISE HEALTH OF MICHIGAN MEDICAL PC (NPI 1083380497), doing business as Midway - Monroe, is a healthcare organization registered as a multi-specialty in Monroe, Michigan and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1083380497
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MICHIGAN MEDICAL PC
Location Address1 LYMAN E. HOYT DRIVEMonroe, MI 48161
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Phone(734) 241-7242
Fax(520) 356-5389
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 17, 2021
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1083380497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1 LYMAN E. HOYT DRIVE, Monroe, MI 48161
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Other Names 1

Doing Business AsMidway - Monroe

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 23D2036188

Premise Health Of Michigan Medical, P C · Monroe, MI
Active · expires Feb 1, 2028
CLIA Number23D2036188
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorEboni Martin
Laboratory Phone(734) 241-7242
Laboratory LocationPremise Health Of Michigan Medical, P C1 Lyman E Hoyt Drive, Monroe, MI 48161
CLIA data matches this NPI record on: Address Name Phone
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 Michigan Medical PC's NPI number?

The NPI number for Premise Health Of Michigan Medical PC is 1083380497. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as Midway - Monroe.

Where is Premise Health Of Michigan Medical PC located?

Premise Health Of Michigan Medical PC is located at 1 Lyman E. Hoyt Drive, Monroe, MI 48161. The listed phone number is (734) 241-7242.

What is Premise Health Of Michigan Medical PC's specialty?

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

Does Premise Health Of Michigan Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2036188) is associated with this NPI, valid through February 1, 2028. 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 Michigan Medical PC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.