PREMISE HEALTH OF VIRGINIA MEDICAL PC
NPI 1104300078
Clinic/Center - Multi-Specialty in Blacksburg, VA
About Premise Health Of Virginia Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF VIRGINIA MEDICAL PC (NPI 1104300078), doing business as Moog Inhealth Wellness Center, is a healthcare organization registered as a multi-specialty in Blacksburg, Virginia and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 49D2156735
Premise Health Of Virginia Medical PC · Blacksburg, VAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Virginia Medical PC's NPI number?
The NPI number for Premise Health Of Virginia Medical PC is 1104300078. It was assigned to this organization in the NPPES registry on September 18, 2018. The provider is doing business as Moog InHealth Wellness Center.
Where is Premise Health Of Virginia Medical PC located?
Premise Health Of Virginia Medical PC is located at 1301 N Main St, Blacksburg, VA 24060. The listed phone number is (844) 342-1757.
What is Premise Health Of Virginia 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 Virginia Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2156735) is associated with this NPI, valid through October 23, 2026. 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 Virginia Medical PC was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.