PREMISE HEALTH OF ARIZONA MEDICAL PC
NPI 1710760012
Clinic/Center - Multi-Specialty in Phoenix, AZ

Q: What is Premise Health Of Arizona Medical PC's NPI number?

The NPI number for Premise Health Of Arizona Medical PC is 1710760012. It was assigned to this organization in the NPPES registry on August 18, 2023. The provider is doing business as PGTI Wellness Center.

Q: What is Premise Health Of Arizona Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 18, 2023CLIA 03D2289103 · Waiver

2150 E RIVERVIEW DR STE 150, PHOENIX, AZ 85034(602) 304-2858(602) 854-7569 Get Directions Write a Review

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

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About Premise Health Of Arizona Medical Pc NPPES

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

PREMISE HEALTH OF ARIZONA MEDICAL PC (NPI 1710760012), doing business as Pgti Wellness Center, is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Edward Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1710760012

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF ARIZONA MEDICAL PC

Location Address2150 E RIVERVIEW DR STE 150Phoenix, AZ 85034-6850

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(602) 304-2858

Fax(602) 854-7569

Organization SubpartNo

Authorized OfficialEdward SchwartzPresident · (844) 407-7557

Enumeration DateAugust 18, 2023

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1710760012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

2150 E RIVERVIEW DR STE 150, Phoenix, AZ 85034

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Other Names 1

Doing Business AsPgti Wellness Center

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 03D2289103

Premise Health Of Arizona Medical, PC · Phoenix, AZ

Active · expires Sep 5, 2027

CLIA Number03D2289103

Laboratory TypePhysician Office

Certificate Effective DateSeptember 6, 2025

Certificate Expiration DateSeptember 5, 2027

Laboratory DirectorLeah Lange

Laboratory Phone(602) 304-2858

Laboratory LocationPremise Health Of Arizona Medical, PC2150 Riverview Dr Ste 150, Phoenix, AZ 85034

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2265538

Premise Health Of Arizona Medical, PC · Phoenix, AZ

Expired · Jul 27, 2026

CLIA Number03D2265538

Laboratory TypePhysician Office

Certificate Effective DateJuly 28, 2024

Certificate Expiration DateJuly 27, 2026

Laboratory DirectorAnthony Rodas

Laboratory Phone(602) 462-2808

Laboratory LocationPremise Health Of Arizona Medical, PC1007 E University Dr, Phoenix, AZ 85034

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 Arizona Medical PC's NPI number?

The NPI number for Premise Health Of Arizona Medical PC is 1710760012. It was assigned to this organization in the NPPES registry on August 18, 2023. The provider is doing business as PGTI Wellness Center.

Where is Premise Health Of Arizona Medical PC located?

Premise Health Of Arizona Medical PC is located at 2150 E Riverview Dr Ste 150, Phoenix, AZ 85034. The listed phone number is (602) 304-2858.

What is Premise Health Of Arizona Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Arizona Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2289103) is associated with this NPI, valid through September 5, 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 Premise Health Of Arizona Medical PC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.