PHIL LONG DEALERSHIP - COLORADO SPRINGS
NPI 1194498162
Clinic/Center - Multi-Specialty in Colorado Springs, CO

Active since July 27, 2021CLIA 06D1094406 · Waiver
4045 SINTON RD, COLORADO SPRINGS, CO 80907(719) 444-4561 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Jul 27, 2021 (2 updates tracked since 2021).

About Phil Long Dealership - Colorado Springs NPPES

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

PHIL LONG DEALERSHIP - COLORADO SPRINGS (NPI 1194498162) is a healthcare organization registered as a multi-specialty in Colorado Springs, Colorado and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Jonathan B Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1194498162
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF COLORADO MEDICAL, P.C.
Location Address4045 SINTON RDColorado Springs, CO 80907-5040
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialJonathan B LeizmanPresident · (216) 479-9063
Enumeration DateJuly 27, 2021
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1194498162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4045 SINTON RD, Colorado Springs, CO 80907

Other Names 1

Doing Business AsPhil Long Dealership - Colorado Springs

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 06D1094406

Premise Health Of Colorado Medical PC · Co Spgs, CO
Active · expires Jan 18, 2027
CLIA Number06D1094406
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorDr. Pamela Deberghes
Laboratory Phone(719) 520-7600
Laboratory LocationPremise Health Of Colorado Medical PC1675 Garden Of The Gods Rd Ste 1053, Co Spgs, CO 80907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
4045 SINTON RD
COLORADO SPRINGS, CO 80907

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 Colorado Medical, P.C.'s NPI number?

The NPI number for Premise Health Of Colorado Medical, P.C. is 1194498162. It was assigned to this organization in the NPPES registry on July 27, 2021. The provider is doing business as Phil Long Dealership - Colorado Springs.

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

Premise Health Of Colorado Medical, P.C. is located at 4045 Sinton Rd, Colorado Springs, CO 80907. The listed phone number is (719) 444-4561.

What is Premise Health Of Colorado Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Colorado Medical, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1094406) is associated with this NPI, valid through January 18, 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 Colorado Medical, P.C. was last updated on August 23, 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.