BAE SYSTEMS AUSTIN TX
NPI 1639760085
Clinic/Center - Occupational Medicine in Austin, TX

NPI Status: Active since January 28, 2021

Contact Information

6500 TRACOR LN
AUSTIN, TX
ZIP 78725
Phone: (512) 929-2327
Fax: (512) 929-4990

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 45D1065023
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-19-2027

About BAE SYSTEMS AUSTIN TX

This page provides the complete NPI Profile along with additional information for Bae Systems Austin Tx, a provider established in Austin, Texas operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1639760085 assigned on January 2021. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bae Systems Austin Tx. The authorized official of this NPI record is Dr. Jon Leizman Md (President)

NPI
1639760085
Provider Legal Name
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Other Organization Name
BAE SYSTEMS AUSTIN TX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6500 TRACOR LN AUSTIN, TX 78725
Location Phone
(512) 929-2327
Location Fax
(512) 929-4990
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2021
Last Update Date
08-23-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JON LEIZMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1065023
Facility Type
Physician Office
Certificate Effective Date
February 20, 2025
Certificate Expiration Date
February 19, 2027
Laboratory Director
MIKE WILLOUGHBY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bae Systems Austin Tx to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639760085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 4 + 6 + 0 + 0 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1639760085.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639760085, enumerated as an "organization" on January 28, 2021.

The provider is located at 6500 TRACOR LN AUSTIN, TX 78725 and the phone number is (512) 929-2327.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.