ROCHE MARANA WELLNESS CENTER
NPI 1437885258
Clinic/Center - Multi-Specialty in Marana, AZ

NPI Status: Active since July 25, 2022

Contact Information

9831 W. TANGERINE ROAD
MARANA, AZ
ZIP 85653
Phone: (615) 468-3188

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 03D2270691
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-18-2026

About ROCHE MARANA WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Roche Marana Wellness Center, a provider established in Marana, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1437885258 assigned on July 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Roche Marana Wellness Center. The authorized official of this NPI record is Jonathan Leizman Md (President)

NPI
1437885258
Provider Legal Name
PREMISE HEALTH OF ARIZONA MEDICAL, P.C.
Other Organization Name
ROCHE MARANA WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9831 W. TANGERINE ROAD MARANA, AZ 85653
Location Phone
(615) 468-3188
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2022
Last Update Date
08-23-2022
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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 Multi-Specialty

Taxonomy Code
261QM1300X
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

JONATHAN 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
03D2270691
Facility Type
Physician Office
Certificate Effective Date
October 19, 2024
Certificate Expiration Date
October 18, 2026
Laboratory Director
CLIFFORD LYONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Roche Marana Wellness Center 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.
1437885258
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246716810210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 6 + 8 + 1 + 0 + 2 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1437885258 is valid because the calculated check digit 8 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 1437885258, enumerated in the NPI registry as an "organization" on July 25, 2022

The provider is located at 9831 W. Tangerine Road Marana, Az 85653 and the phone number is (615) 468-3188

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider's CLIA number is 03D2270691 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 July 25, 2022. 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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