PREMISE HEALTH WELLNESS CENTER - PLANO NEARSITE
NPI 1881252450
Clinic/Center - Multi-Specialty in Plano, TX
NPI Status: Active since May 30, 2019
Contact Information
6835 COMMUNICATIONS PKWY STE 510
PLANO, TX
ZIP 75024
Phone: (469) 545-1993
Fax: (469) 545-1996
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 45D2166947
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 05-29-2025
About PREMISE HEALTH WELLNESS CENTER - PLANO NEARSITE
Premise Health Wellness Center - Plano Nearsite is a provider established in Plano, Texas operating as a Clinic/center with a focus in multi-specialty . The healthcare provider is registered in the NPI registry with number 1881252450 assigned on May 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Premise Health Wellness Center - Plano Nearsite. The authorized official of this NPI record is Dr. Jon Leizman Md (President)
- NPI
- 1881252450
- Provider Legal Name
- PREMISE HEALTH OF TEXAS MEDICAL, P.A
- Other Organization Name
- PREMISE HEALTH WELLNESS CENTER - PLANO NEARSITE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6835 COMMUNICATIONS PKWY STE 510 PLANO, TX 75024
- Location Phone
- (469) 545-1993
- Location Fax
- (469) 545-1996
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2019
- Last Update Date
- 08-23-2022
- Code Navigator
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 45D2166947
- Facility Type
- Physician Office
- Certificate Effective Date
- May 30, 2023
- Certificate Expiration Date
- May 29, 2025
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premise Health Wellness Center - Plano Nearsite 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 8 | 1 | 2 | 5 | 2 | 4 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 4 | 5 | 4 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 4 + 5 + 4 + 4 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1881252450 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881252450, enumerated in the NPI registry as an "organization" on May 30, 2019
The provider is located at 6835 Communications Pkwy Ste 510 Plano, Tx 75024 and the phone number is (469) 545-1993
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 45D2166947 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on May 30, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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