PREMISE HEALTH OF ALABAMA MEDICAL P.C. NPI 1063825941

NPI Information

  • NPI: 1063825941
  • Provider Name: PREMISE HEALTH OF ALABAMA MEDICAL, P.C.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: INDUSTRIAL HEALTH SERVICES
  • CLIA Number: 01D2076769
  • Address: 1 COTTONVALLEY DR NW
    HUNTSVILLE, AL
    ZIP 35810
  • Phone: (256) 746-5111

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NPI Details

PREMISE HEALTH OF ALABAMA MEDICAL, P.C. is a multi-specialty clinic center in Huntsville, AL. PREMISE HEALTH OF ALABAMA MEDICAL, P.C. NPI is 1063825941. The provider is registered as an organization entity type.
The provider Is Doing Business As Industrial Health Services.

The provider's business location address is:

1 COTTONVALLEY DR NW
HUNTSVILLE, AL
ZIP 35810-045
Phone: (256) 746-5111
Fax: (256) 746-5908

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 01D2076769 - other - employer worksite health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2014 and was last updated on 8/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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