PREMISE HEALTH OF MICHIGAN MEDICAL PC
NPI 1487329983
Clinic/Center - Multi-Specialty in Newberry, MI

Active since August 16, 2021CLIA 23D2266761 · Waiver
123 E TRUMAN ST, NEWBERRY, MI 49868(615) 468-3188 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2022, Aug 16, 2021 (2 updates tracked since 2021).

About Premise Health Of Michigan Medical Pc NPPES

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

PREMISE HEALTH OF MICHIGAN MEDICAL PC (NPI 1487329983), doing business as Lp-newberry, is a healthcare organization registered as a multi-specialty in Newberry, Michigan and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1487329983
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MICHIGAN MEDICAL PC
Location Address123 E TRUMAN STNewberry, MI 49868-1150
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 16, 2021
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
NPI 1487329983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
123 E TRUMAN ST, Newberry, MI 49868

Other Names 1

Doing Business AsLp-newberry

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 23D2266761

Premise Health Of Michigan Medical, P C · Newberry, MI
Active · expires Aug 15, 2026
CLIA Number23D2266761
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorDavid Fink
Laboratory Phone(906) 291-3480
Laboratory LocationPremise Health Of Michigan Medical, P C330 Handy Street, Newberry, MI 49868
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487329983, enumerated as an "organization" on August 16, 2021.

The provider is located at 123 E TRUMAN ST NEWBERRY, MI 49868 and the phone number is (615) 468-3188.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.