ADIDAS SPG HEALTH CENTER DC1
NPI 1275263501
Clinic/Center - Multi-Specialty in Spartanburg, SC
About Adidas Spg Health Center Dc1 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADIDAS SPG HEALTH CENTER DC1 (NPI 1275263501) is a healthcare organization registered as a multi-specialty in Spartanburg, South Carolina and active in the NPI registry since June 2022. The organization holds 2 active CLIA laboratory certificates and lists Jon Leizman, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 42D2263533
Premise Health Of South Carolina Medical, PC · Spartanburg, SCCertificate of Waiver 42D2263501
Premise Health Of South Carolina Medical, PC · Spartanburg, SCFrequently 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 South Carolina Medical, P.C's NPI number?
The NPI number for Premise Health Of South Carolina Medical, P.C is 1275263501. It was assigned to this organization in the NPPES registry on June 10, 2022. The provider is doing business as Adidas Spg Health Center Dc1.
Where is Premise Health Of South Carolina Medical, P.C located?
Premise Health Of South Carolina Medical, P.C is located at 495 Cedar Crest Rd, Spartanburg, SC 29301. The listed phone number is (615) 468-3188.
What is Premise Health Of South Carolina 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 South Carolina Medical, P.C 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 South Carolina 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.
# Adidas Spg Health Center Dc1 · NPI 1275263501
Multi-Specialty organization in Spartanburg, South Carolina. Organization record, active in the CMS NPPES registry since June 10, 2022.
## Identity
- **NPI:** 1275263501 (Entity type: Organization)
- **Enumerated:** June 10, 2022
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Premise Health Of South Carolina Medical, P.c
- **Organization subpart:** No
- **Authorized official:** Jon Leizman, DIRECTOR
## Practice location
- **Address:** 495 CEDAR CREST RD, Spartanburg, SC 29301-5101
- **Phone:** (615) 468-3188
## Record status
- **NPPES last updated:** August 23, 2022
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275263501) · Data from the CMS NPPES public registry.