BAE SYSTEMS MERRIMACK NH
NPI 1861085128
Clinic/Center - Occupational Medicine in Merrimack, NH

NPI Status: Active since February 18, 2021

Contact Information

130 DANIEL WEBSTER HIGHWAY
MERRIMACK, NH
ZIP 03054
Phone: (603) 885-4436
Fax: (603) 885-3248

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 30D0965636
  • CLIA Cert. Type: Industrial
  • CLIA Exp. Date: 09-26-2027

About BAE SYSTEMS MERRIMACK NH

This page provides the complete NPI Profile along with additional information for Bae Systems Merrimack Nh, a provider established in Merrimack, New Hampshire operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1861085128 assigned on February 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 Merrimack Nh. The authorized official of this NPI record is Dr. Jon Leizman Md (President)

NPI
1861085128
Provider Legal Name
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
Other Organization Name
BAE SYSTEMS MERRIMACK NH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
130 DANIEL WEBSTER HIGHWAY MERRIMACK, NH 03054
Location Phone
(603) 885-4436
Location Fax
(603) 885-3248
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2021
Last Update Date
08-15-2022
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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
30D0965636
Facility Type
Industrial
Certificate Effective Date
September 27, 2025
Certificate Expiration Date
September 26, 2027
Laboratory Director
ALBERT RIELLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bae Systems Merrimack Nh 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 1861085128, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 6 → 12 → 3 0 → 0 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 0 + 8 + 1 + 0 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1861085128.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861085128, enumerated as an "organization" on February 18, 2021.

The provider is located at 130 DANIEL WEBSTER HIGHWAY MERRIMACK, NH 03054 and the phone number is (603) 885-4436.

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