PREMISE HEALTH WELLNESS CENTER - LOUISVILLE
NPI 1275203028
Clinic/Center - Multi-Specialty in Louisville, KY
About Premise Health Wellness Center - Louisville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH WELLNESS CENTER - LOUISVILLE (NPI 1275203028) is a healthcare organization registered as a multi-specialty in Louisville, Kentucky and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Jon Leizman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 18D2241715
Premise Health Of Kentucky Medical, Psc Dba Premise Health Wellness Center · Louisville, KYFrequently 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 West Virginia Medical, Medical Corporation's NPI number?
The NPI number for Premise Health Of West Virginia Medical, Medical Corporation is 1275203028. It was assigned to this organization in the NPPES registry on September 14, 2021. The provider is doing business as Premise Health Wellness Center - Louisville.
Where is Premise Health Of West Virginia Medical, Medical Corporation located?
Premise Health Of West Virginia Medical, Medical Corporation is located at 10000 Brownsboro Rd Ste 7, Louisville, KY 40241. The listed phone number is (502) 272-0330.
What is Premise Health Of West Virginia Medical, Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of West Virginia Medical, Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2241715) is associated with this NPI, valid through October 31, 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 West Virginia Medical, Medical Corporation was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Premise Health Wellness Center - Louisville · NPI 1275203028
Multi-Specialty organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since September 14, 2021.
## Identity
- **NPI:** 1275203028 (Entity type: Organization)
- **Enumerated:** September 14, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Premise Health Of West Virginia Medical, Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Jon Leizman, PRESIDENT
## Practice location
- **Address:** 10000 BROWNSBORO RD STE 7, Louisville, KY 40241-3900
- **Phone:** (502) 272-0330 · **Fax:** (502) 272-0332
## Record status
- **NPPES last updated:** August 15, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275203028) · Data from the CMS NPPES public registry.