US11 MICHELIN OCCUPATIONAL HEALTH CLINIC
NPI 1124452586
Clinic/Center - Occupational Medicine in Norwood, NC
NPI Status: Active since August 21, 2013
Contact Information
40589 S STANLY SCHOOL RD
NORWOOD, NC
ZIP 28128
Phone: (704) 474-2011
Fax: (704) 784-8179
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 34D2063218
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-29-2027
About US11 MICHELIN OCCUPATIONAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Us11 Michelin Occupational Health Clinic, a provider established in Norwood, North Carolina operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1124452586 assigned on August 2013. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Us11 Michelin Occupational Health Clinic. The authorized official of this NPI record is Jon Leizman M.d. (President)
- NPI
- 1124452586
- Provider Legal Name
- PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
- Other Organization Name
- US11 MICHELIN OCCUPATIONAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 40589 S STANLY SCHOOL RD NORWOOD, NC 28128
- Location Phone
- (704) 474-2011
- Location Fax
- (704) 784-8179
- Mailing Address
- 5500 MARYLAND WAY BRENTWOOD, TN 37027
- Mailing Phone
- (704) 474-2011
- Mailing Fax
- (704) 784-8179
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2013
- Last Update Date
- 08-24-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Occupational Medicine
- Taxonomy Code
- 261QX0100X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2063218
- Facility Type
- Physician Office
- Certificate Effective Date
- July 30, 2025
- Certificate Expiration Date
- July 29, 2027
- Laboratory Director
- HANNAH PHILLIPY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Us11 Michelin Occupational Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124452586, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124452586, enumerated as an "organization" on August 21, 2013.
The provider is located at 40589 S STANLY SCHOOL RD NORWOOD, NC 28128 and the phone number is (704) 474-2011.
Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.
