OrganizationActive
Premise Health of Virginia Medical, P.C
NPI 1356932701 · Occupational Medicine Clinic/Center · Manassas, VA
Provider details
- NPI number
- 1356932701
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jonathan Leizman, President
Practice location
9300 Wellington Rd
Manassas, VA 20110-4122
Phone: (571) 364-7618
Fax: (571) 364-6201
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.