PREMISE HEALTH OF INDIANA MEDICAL, P.C. is a multi-specialty clinic center in Lafayette, IN. PREMISE HEALTH OF INDIANA MEDICAL, P.C. NPI is 1255085379. The provider is registered as an organization entity type.
The provider Is Doing Business As Sia Occupational Medical Clinic.
The provider's business location address is:
5500 STATE ROAD 38 E
LAFAYETTE, IN
ZIP 47905-405
Phone: (765) 588-5667
Fax: (765) 449-8408
The provider's authorized official is Jon 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 15D2253690 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2022 and was last updated on 8/25/2022.