THE WELLNESS CENTER POWERED BY PREMISE HEALTH
NPI 1154068013
Clinic/Center - Multi-Specialty in Fort Worth, TX
NPI Status: Active since May 12, 2022
Contact Information
1 LOCKHEED BLVD
FORT WORTH, TX
ZIP 76108
Phone: (972) 603-3000
Fax: (972) 603-2922
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 45D2263950
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-06-2026
About THE WELLNESS CENTER POWERED BY PREMISE HEALTH
This page provides the complete NPI Profile along with additional information for The Wellness Center Powered By Premise Health, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1154068013 assigned on May 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as The Wellness Center Powered By Premise Health. The authorized official of this NPI record is Jon Leizman (President)
- NPI
- 1154068013
- Provider Legal Name
- PREMISE HEALTH OF TEXAS MEDICAL, P.A
- Other Organization Name
- THE WELLNESS CENTER POWERED BY PREMISE HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 LOCKHEED BLVD FORT WORTH, TX 76108
- Location Phone
- (972) 603-3000
- Location Fax
- (972) 603-2922
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-12-2022
- Last Update Date
- 08-23-2022
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- 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
- 45D2263950
- Facility Type
- Physician Office
- Certificate Effective Date
- July 07, 2024
- Certificate Expiration Date
- July 06, 2026
- Laboratory Director
- DAI NGUYEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Wellness Center Powered By Premise Health 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.
Reviews for THE WELLNESS CENTER POWERED BY PREMISE HEALTH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1154068013, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FORT WORTH, TX 76108
FORT WORTH, TX 76108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154068013, enumerated as an "organization" on May 12, 2022.
The provider is located at 1 LOCKHEED BLVD FORT WORTH, TX 76108 and the phone number is (972) 603-3000.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
