PREMIER INTEGRATED HEALTHCARE PLLC
NPI 1508445941
Nurse Practitioner - Psychiatric/Mental Health in San Tan Valley, AZ

Active since April 05, 2021CLIA 03D2226692 · Waiver
85 W COMBS RD STE 101-269, SAN TAN VALLEY, AZ 85140(480) 231-4113 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2022, Apr 5, 2021 (2 updates tracked since 2021).

About Premier Integrated Healthcare Pllc NPPES

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

PREMIER INTEGRATED HEALTHCARE PLLC (NPI 1508445941), doing business as Sozo Medical Group, is a healthcare organization registered as a psychiatric/mental health in San Tan Valley, Arizona and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Chidozie C Eze, Director, as its authorized official.

NPPES Registry Identity

NPI1508445941
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePREMIER INTEGRATED HEALTHCARE PLLC
Location Address85 W COMBS RD STE 101-269San Tan Valley, AZ 85140-9125
Mailing Address85 W Combs Rd Ste 101-269San Tan Valley, AZ 85140-9125 · (480) 231-4113
Organization SubpartNo
Authorized OfficialChidozie C EzeDirector · (480) 231-4113
Enumeration DateApril 5, 2021
Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
NPI 1508445941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
85 W COMBS RD STE 101-269, San Tan Valley, AZ 85140

Other Names 1

Former Legal Business NameSozo Medical Group

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 03D2226692

Premier Integrated Healthcare PLLC · Mesa, AZ
Active · expires Jun 1, 2027
CLIA Number03D2226692
Laboratory TypeIndependent
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorChidozie Eze
Laboratory Phone(480) 231-4113
Laboratory LocationPremier Integrated Healthcare PLLC7525 E Broadway Rd Ste 3, Mesa, AZ 85208
CLIA data matches this NPI record on: 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 Premier Integrated Healthcare PLLC's NPI number?

The NPI number for Premier Integrated Healthcare PLLC is 1508445941. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider was formerly known as Sozo Medical Group.

Where is Premier Integrated Healthcare PLLC located?

Premier Integrated Healthcare PLLC is located at 85 W Combs Rd Ste 101-269, San Tan Valley, AZ 85140. The listed phone number is (480) 231-4113.

What is Premier Integrated Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Premier Integrated Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2226692) is associated with this NPI, valid through June 1, 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 Premier Integrated Healthcare PLLC was last updated on February 17, 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.