PREMISE HEALTH OF ARIZONA MEDICAL PC
NPI 1265735419
Clinic/Center in Chandler, AZ

Active since December 09, 2010CLIA Certified · 3 labs
4500 S DOBSON ROAD, CHANDLER, AZ 85248(480) 715-6112(480) 715-6481 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Feb 24, 2022 (2 updates tracked since 2022).

About Premise Health Of Arizona Medical Pc NPPES

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

PREMISE HEALTH OF ARIZONA MEDICAL PC (NPI 1265735419), doing business as Intel Health For Life Center Oc2, is a healthcare organization registered as a clinic/center in Chandler, Arizona and active in the NPI registry since December 2010. The organization holds 3 active CLIA laboratory certificates and lists Edward Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1265735419
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMISE HEALTH OF ARIZONA MEDICAL PC
Location Address4500 S DOBSON ROADChandler, AZ 85248-4907
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993 · (615) 468-6242 · Fax (615) 468-6242
Fax(480) 715-6481
Organization SubpartNo
Authorized OfficialEdward SchwartzPresident · (844) 407-7557
Enumeration DateDecember 9, 2010
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1265735419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4500 S DOBSON ROAD, Chandler, AZ 85248

Other Names 1

Doing Business AsIntel Health For Life Center Oc2

CLIA Laboratory Certificates CMS CLIA 3

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 03D1088549

Premise Health Of Arizona Medical, PC · Chandler, AZ
Active · expires Aug 26, 2026
CLIA Number03D1088549
Laboratory TypeOther
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorLinda Landino
Laboratory Phone(480) 715-6112
Laboratory LocationPremise Health Of Arizona Medical, PC4500 S Dobson Rd, Mail Stop Oc2-112, Chandler, AZ 85248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1101238

Premise Health Of Arizona Medical, PC · Chandler, AZ
Active · expires Jun 22, 2027
CLIA Number03D1101238
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorPeter J. Vasquez
Laboratory Phone(480) 723-2433
Laboratory LocationPremise Health Of Arizona Medical, PC4500 S Dobson Rd, Mail Stop - Oc8, Chandler, AZ 85248
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2197911

Premise Health Of Arizona Medical, PC · Chandler, AZ
Active · expires Oct 27, 2026
CLIA Number03D2197911
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorPeter Vasquez
Laboratory Phone(216) 287-5586
Laboratory LocationPremise Health Of Arizona Medical, PC4500 S Dobson Rd, Ste 119, Chandler, AZ 85248
CLIA data matches this NPI record on: Address 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 Arizona Medical PC's NPI number?

The NPI number for Premise Health Of Arizona Medical PC is 1265735419. It was assigned to this organization in the NPPES registry on December 9, 2010. The provider is doing business as Intel Health for Life Center OC2.

Where is Premise Health Of Arizona Medical PC located?

Premise Health Of Arizona Medical PC is located at 4500 S Dobson Road, Chandler, AZ 85248. The listed phone number is (480) 715-6112.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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

Yes. 3 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 Arizona Medical PC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.