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BAE SYSTEMS LEXINGTON MA
NPI 1417548850
Clinic/Center - Occupational Medicine in Lexington, MA

Active since January 28, 2021CLIA Certified · 2 labs
2 FORBES RD, LEXINGTON, MA 02421(781) 863-3206(781) 863-4047 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Jan 28, 2021 (2 updates tracked since 2021).

About Bae Systems Lexington Ma NPPES

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

BAE SYSTEMS LEXINGTON MA (NPI 1417548850) is a healthcare organization registered as an occupational medicine in Lexington, Massachusetts and active in the NPI registry since January 2021. The organization holds 2 active CLIA laboratory certificates and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1417548850
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC
Location Address2 FORBES RDLexington, MA 02421-7306
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(781) 863-3206
Fax(781) 863-4047
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateJanuary 28, 2021
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1417548850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
2 FORBES RD, Lexington, MA 02421
Open in Google Maps ↗

Other Names 1

Doing Business AsBae Systems Lexington Ma

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 22D0870923

Premise Health Of Massachusetts Medical, PC · Lexington, MA
Active · expires Aug 31, 2026
CLIA Number22D0870923
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAlbert Rielly
Laboratory Phone(781) 863-3206
Laboratory LocationPremise Health Of Massachusetts Medical, PC2 Forbes Rd Lex 01-160, Lexington, MA 02421
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 22D2246830

Premise Health Of Massachusetts Medical PC · Lexington, MA
Active · expires Dec 29, 2027
CLIA Number22D2246830
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorBob Fitzpatrick
Laboratory Phone(781) 266-3837
Laboratory LocationPremise Health Of Massachusetts Medical PC300 Shire Way Suite 100, Lexington, MA 02421
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 Massachusetts, Medical PC's NPI number?

The NPI number for Premise Health Of Massachusetts, Medical PC is 1417548850. It was assigned to this organization in the NPPES registry on January 28, 2021. The provider is doing business as Bae Systems Lexington Ma.

Where is Premise Health Of Massachusetts, Medical PC located?

Premise Health Of Massachusetts, Medical PC is located at 2 Forbes Rd, Lexington, MA 02421. The listed phone number is (781) 863-3206.

What is Premise Health Of Massachusetts, Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of Massachusetts, 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 Massachusetts, Medical PC was last updated on August 24, 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.