US11 MICHELIN OCCUPATIONAL HEALTH CLINIC
NPI 1124452586
Clinic/Center - Occupational Medicine in Norwood, NC

Q: What is Premise Health Of North Carolina Medical, P.C's specialty?

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

Active since August 21, 2013CLIA 34D2063218 · Waiver

40589 S STANLY SCHOOL RD, NORWOOD, NC 28128(704) 474-2011(704) 784-8179 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Us11 Michelin Occupational Health Clinic NPPES

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

US11 MICHELIN OCCUPATIONAL HEALTH CLINIC (NPI 1124452586) is a healthcare organization registered as an occupational medicine in Norwood, North Carolina and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1124452586

Entity TypeOrganization

Primary Taxonomy261QX0100X

Legal Business NamePREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C

Location Address40589 S STANLY SCHOOL RDNorwood, NC 28128-8752

Mailing Address5500 Maryland WayBrentwood, TN 37027-4948 · (704) 474-2011 · Fax (704) 784-8179

Phone(704) 474-2011

Fax(704) 784-8179

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateAugust 21, 2013

Last NPPES UpdateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1124452586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities

Taxonomy Code261QX0100X

40589 S STANLY SCHOOL RD, Norwood, NC 28128

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Other Names 1

Doing Business AsUs11 Michelin Occupational Health 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 34D2063218

Premise Health Of North Carolina Medical, PC · Norwood, NC

Active · expires Jul 29, 2027

CLIA Number34D2063218

Laboratory TypePhysician Office

Certificate Effective DateJuly 30, 2025

Certificate Expiration DateJuly 29, 2027

Laboratory DirectorHannah Phillipy

Laboratory Phone(704) 474-2006

Laboratory LocationPremise Health Of North Carolina Medical, PC40589 South Stanly School Road, Norwood, NC 28128

CLIA data matches this NPI record on: Address Name

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

The NPI number for Premise Health Of North Carolina Medical, P.C is 1124452586. It was assigned to this organization in the NPPES registry on August 21, 2013. The provider is doing business as Us11 Michelin Occupational Health Clinic.

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

Premise Health Of North Carolina Medical, P.C is located at 40589 S Stanly School Rd, Norwood, NC 28128. The listed phone number is (704) 474-2011.

What is Premise Health Of North 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 North Carolina Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2063218) is associated with this NPI, valid through July 29, 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 North Carolina Medical, P.C was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.