THE WELLNESS CENTER OPERATED BY PREMISE HEALTH
NPI 1942956842
Clinic/Center - Multi-Specialty in Bridgeport, CT
About The Wellness Center Operated By Premise Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE WELLNESS CENTER OPERATED BY PREMISE HEALTH (NPI 1942956842) is a healthcare organization registered as a multi-specialty in Bridgeport, Connecticut and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Jonathan Leizman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 07D2260282
Premise Health Of Connecticut Medical, PC · Bridgeport, CTFrequently 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 Connecticut Medical, P.C.'s NPI number?
The NPI number for Premise Health Of Connecticut Medical, P.C. is 1942956842. It was assigned to this organization in the NPPES registry on March 1, 2022. The provider is doing business as The Wellness Center Operated By Premise Health.
Where is Premise Health Of Connecticut Medical, P.C. located?
Premise Health Of Connecticut Medical, P.C. is located at 1210 South Ave, Bridgeport, CT 06604. The listed phone number is (203) 224-2073.
What is Premise Health Of Connecticut Medical, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of Connecticut Medical, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2260282) is associated with this NPI, valid through May 16, 2028. 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 Connecticut Medical, P.C. was last updated on August 15, 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.