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FUJI DIOSYNTH BIOTECHNOLOGIES HEALTH CENTER
NPI 1831771518
Clinic/Center - Occupational Medicine in Bryan, TX

Active since April 22, 2021CLIA 45D2219381 · Waiver
8872 HSC PKWY RM 106, BRYAN, TX 77807(979) 431-3682(800) 866-1611 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Apr 22, 2021 (2 updates tracked since 2021).

About Fuji Diosynth Biotechnologies Health Center NPPES

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

FUJI DIOSYNTH BIOTECHNOLOGIES HEALTH CENTER (NPI 1831771518) is a healthcare organization registered as an occupational medicine in Bryan, Texas and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1831771518
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF TEXAS MEDICAL, P.A
Location Address8872 HSC PKWY RM 106Bryan, TX 77807-1107
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(979) 431-3682
Fax(800) 866-1611
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateApril 22, 2021
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1831771518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
8872 HSC PKWY RM 106, Bryan, TX 77807
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Other Names 1

Doing Business AsFuji Diosynth Biotechnologies Health Center

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 45D2219381

Premise Health Of Texas PA · Bryan, TX
Active · expires Apr 4, 2027
CLIA Number45D2219381
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorGeorge P. Ashby
Laboratory Phone(979) 431-3682
Laboratory LocationPremise Health Of Texas PA8872 Hsc Parkway, Rm 106, Bryan, TX 77807
CLIA data matches this NPI record on: Address 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 Premise Health Of Texas Medical, P.A's NPI number?

The NPI number for Premise Health Of Texas Medical, P.A is 1831771518. It was assigned to this organization in the NPPES registry on April 22, 2021. The provider is doing business as Fuji Diosynth Biotechnologies Health Center.

Where is Premise Health Of Texas Medical, P.A located?

Premise Health Of Texas Medical, P.A is located at 8872 Hsc Pkwy Rm 106, Bryan, TX 77807. The listed phone number is (979) 431-3682.

What is Premise Health Of Texas Medical, P.A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of Texas Medical, P.A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2219381) is associated with this NPI, valid through April 4, 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 Texas Medical, P.A was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.