HARLEY DAVIDSON HEALTH CENTER- PILGRIM ROAD
NPI 1770868135
Clinic/Center - Occupational Medicine in Menomonee Falls, WI
NPI Status: Active since October 18, 2011
Contact Information
W156 N 9000 RILGRIM RD
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 502-8752
Fax: (262) 502-8756
- Organization
- Clinic/Center
- Occupational Medicine
- CLIA Number: 52D2272607
- CLIA Cert. Type: Other - ONSITE CLINIC
- CLIA Exp. Date: 11-22-2026
About HARLEY DAVIDSON HEALTH CENTER- PILGRIM ROAD
This page provides the complete NPI Profile along with additional information for Harley Davidson Health Center- Pilgrim Road, a provider established in Menomonee Falls, Wisconsin operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1770868135 assigned on October 2011. 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 Harley Davidson Health Center- Pilgrim Road. The authorized official of this NPI record is Jon Leizman M.d. (President)
- NPI
- 1770868135
- Provider Legal Name
- PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
- Other Organization Name
- HARLEY DAVIDSON HEALTH CENTER- PILGRIM ROAD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- W156 N 9000 RILGRIM RD MENOMONEE FALLS, WI 53051
- Location Phone
- (262) 502-8752
- Location Fax
- (262) 502-8756
- Mailing Address
- 16906 COLLECTION CENTER DR CHICAGO, IL 60693
- Mailing Phone
- (262) 502-8752
- Mailing Fax
- (262) 502-8756
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2011
- Last Update Date
- 08-15-2022
- Code Navigator
Location Map
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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 52D2272607
- Facility Type
- Other - ONSITE CLINIC
- Certificate Effective Date
- November 23, 2024
- Certificate Expiration Date
- November 22, 2026
- Laboratory Director
- DR. JEFFREY LIVA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harley Davidson Health Center- Pilgrim Road 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 1770868135, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770868135, enumerated as an "organization" on October 18, 2011.
The provider is located at W156 N 9000 RILGRIM RD MENOMONEE FALLS, WI 53051 and the phone number is (262) 502-8752.
Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.
