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INDEPENDENCE HEALTH LLC
NPI 1477208643
Preventive Medicine - Occupational Medicine in Maumee, OH

Active since February 16, 2022CLIA 36D2303956 · Waiver
5757 MONCLOVA RD STE 17, MAUMEE, OH 43537(419) 891-8003(419) 891-8048 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Independence Health Llc NPPES

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

INDEPENDENCE HEALTH LLC (NPI 1477208643), doing business as Independence Health Employer Services Llc, is a healthcare organization registered as an occupational medicine in Maumee, Ohio and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Mike M Ariss, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477208643
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameINDEPENDENCE HEALTH LLC
Location Address5757 MONCLOVA RD STE 17Maumee, OH 43537-1863
Mailing Address28442 E River RdPerrysburg, OH 43551-2795
Phone(419) 891-8003
Fax(419) 891-8048
Organization SubpartNo
Authorized OfficialMike M ArissCeo · (248) 904-6237
Enumeration DateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
✔ NPI 1477208643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
5757 MONCLOVA RD STE 17, Maumee, OH 43537
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Other Names 1

Doing Business AsIndependence Health Employer Services Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 36D2303956

Independence Health Employer Services, LLC Maumee · Maumee, OH
Active · expires May 2, 2028
CLIA Number36D2303956
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorAndrew R. Nowakowski
Laboratory Phone(419) 891-8003
Laboratory LocationIndependence Health Employer Services, LLC Maumee5757 Monclova Road, Ste 17, Maumee, OH 43537
CLIA data matches this NPI record on: Address Name Phone
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 Independence Health LLC's NPI number?

The NPI number for Independence Health LLC is 1477208643. It was assigned to this organization in the NPPES registry on February 16, 2022. The provider is doing business as Independence Health Employer Services LLC.

Where is Independence Health LLC located?

Independence Health LLC is located at 5757 Monclova Rd Ste 17, Maumee, OH 43537. The listed phone number is (419) 891-8003.

What is Independence Health LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Does Independence Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2303956) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Independence Health LLC was last updated on February 16, 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.