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MARICOPA HEALTH CENTER
NPI 1225397227
Clinic/Center - Urgent Care in Phoenix, AZ

Active since May 10, 2012CLIA 03D2297767 · Waiver
301 W JEFFERSON ST STE 201, PHOENIX, AZ 85003(480) 347-4791(480) 347-4792 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maricopa Health Center NPPES

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

MARICOPA HEALTH CENTER (NPI 1225397227) is a healthcare organization registered as an urgent care in Phoenix, Arizona and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1225397227
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePREMISE HEALTH OF ARIZONA MEDICAL, P.C.
Location Address301 W JEFFERSON ST STE 201Phoenix, AZ 85003-2195
Mailing Address16906 Collection Center DrChicago, IL 60693-0169 · (877) 865-9013 · Fax (480) 347-4792
Phone(480) 347-4791
Fax(480) 347-4792
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateMay 10, 2012
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1225397227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
301 W JEFFERSON ST STE 201, Phoenix, AZ 85003
Open in Google Maps ↗

Other Names 1

Doing Business AsMaricopa Health Center

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 03D2297767

Premise Health Of Arizona Medical PC · Phoenix, AZ
Active · expires Jan 21, 2028
CLIA Number03D2297767
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorKelly Ingertson
Laboratory Phone(602) 243-2278
Laboratory LocationPremise Health Of Arizona Medical PC3414 S 5th St, Phoenix, AZ 85040
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 2

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

RUTH E STEDWELL N.P.
Nurse Practitioner (Primary Care)
301 W JEFFERSON ST STE 201
PHOENIX, AZ 85003
Maricopa County (480) 347-4791
KETURAH FRANCES VOLPE NP
Nurse Practitioner (Family)
301 W JEFFERSON ST STE 201
PHOENIX, AZ 85003
Maricopa County (602) 506-1010

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

The NPI number for Premise Health Of Arizona Medical, P.C. is 1225397227. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Maricopa Health Center.

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

Premise Health Of Arizona Medical, P.C. is located at 301 W Jefferson St Ste 201, Phoenix, AZ 85003. The listed phone number is (480) 347-4791.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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

Yes. A Certificate of Waiver (number 03D2297767) is associated with this NPI, valid through January 21, 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 Premise Health Of Arizona 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.