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PREMISE HEALTH OF ALABAMA MEDICAL PC
NPI 1235805607
Clinic/Center - Multi-Specialty in Montgomery, AL

Active since August 17, 2021CLIA Certified · 2 labs
310B S HULL ST, MONTGOMERY, AL 36104(334) 625-4516(334) 262-5451 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Aug 17, 2021 (2 updates tracked since 2021).

About Premise Health Of Alabama Medical Pc NPPES

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

PREMISE HEALTH OF ALABAMA MEDICAL PC (NPI 1235805607), doing business as Montgomery County Occ, is a healthcare organization registered as a multi-specialty in Montgomery, Alabama and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1235805607
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ALABAMA MEDICAL PC
Location Address310B S HULL STMontgomery, AL 36104-4271
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(334) 625-4516
Fax(334) 262-5451
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateAugust 17, 2021
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1235805607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
310B S HULL ST, Montgomery, AL 36104
Open in Google Maps ↗

Other Names 1

Doing Business AsMontgomery County Occ

CLIA Laboratory Certificates CMS CLIA 2

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 01D2038907

Premise Health Of Alabama Medical, PC · Montgomery, AL
Active · expires Mar 26, 2028
CLIA Number01D2038907
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorDr. Belfondia Pou
Laboratory Phone(334) 553-8870
Laboratory LocationPremise Health Of Alabama Medical, PC310 S Hull St, Montgomery, AL 36104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D1105180

Premise Health Of Alabama Medical, PC · Montgomery, AL
Active · expires Sep 16, 2027
CLIA Number01D1105180
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorDr. Shalini Goswami
Laboratory Phone(334) 356-5656
Laboratory LocationPremise Health Of Alabama Medical, PC300 South Hull Street, Montgomery, AL 36104
CLIA data matches this NPI record on: 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 Alabama Medical PC's NPI number?

The NPI number for Premise Health Of Alabama Medical PC is 1235805607. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as Montgomery County Occ.

Where is Premise Health Of Alabama Medical PC located?

Premise Health Of Alabama Medical PC is located at 310B S Hull St, Montgomery, AL 36104. The listed phone number is (334) 625-4516.

What is Premise Health Of Alabama Medical PC's specialty?

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

Does Premise Health Of Alabama Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Alabama Medical PC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.