AGILE OCCUPATIONAL MEDICINE, PC
NPI 1154296184
Clinic/Center - Occupational Medicine in Modesto, CA
About Agile Occupational Medicine, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGILE OCCUPATIONAL MEDICINE, PC (NPI 1154296184) is a healthcare organization registered as an occupational medicine in Modesto, California and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Peter Murray, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2336722
Agile Occupational Medicine · Modesto, CAOther Providers at the Same Location NPPES 2
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 Agile Occupational Medicine, PC's NPI number?
The NPI number for Agile Occupational Medicine, PC is 1154296184. It was assigned to this organization in the NPPES registry on October 8, 2025.
Where is Agile Occupational Medicine, PC located?
Agile Occupational Medicine, PC is located at 2112 Mchenry Ave Ste B, Modesto, CA 95350. The listed phone number is (209) 572-2114.
What is Agile Occupational Medicine, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.
Does Agile Occupational Medicine, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2336722) is associated with this NPI, valid through January 7, 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 Agile Occupational Medicine, PC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Agile Occupational Medicine, Pc · NPI 1154296184
Occupational Medicine organization in Modesto, California. Organization record, active in the CMS NPPES registry since October 8, 2025.
## Identity
- **NPI:** 1154296184 (Entity type: Organization)
- **Enumerated:** October 8, 2025
- **Primary specialty:** Clinic/Center - Occupational Medicine · taxonomy 261QX0100X
- **Organization subpart:** No
- **Authorized official:** Peter Murray, SECRETARY
## Practice location
- **Address:** 2112 MCHENRY AVE STE B, Modesto, CA 95350-3261
- **Phone:** (209) 572-2114
## Record status
- **NPPES last updated:** May 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154296184) · Data from the CMS NPPES public registry.