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LONGEVITY HEALTH CLINIC, INC
NPI 1063235208
Clinic/Center in Charlottesville, VA

Active since November 06, 2024
4100 OLYMPIA CIR STE 106, CHARLOTTESVILLE, VA 22911(434) 260-3306(434) 206-8020 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longevity Health Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY HEALTH CLINIC, INC (NPI 1063235208) is a healthcare organization registered as a clinic/center in Charlottesville, Virginia and active in the NPI registry since November 2024. The organization lists Jason Itri, Owner And Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063235208
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLONGEVITY HEALTH CLINIC, INC
Location Address4100 OLYMPIA CIR STE 106Charlottesville, VA 22911-3620
Mailing Address4100 Olympia Cir Ste 106Charlottesville, VA 22911-3620 · (434) 260-3306 · Fax (434) 206-8020
Phone(434) 260-3306
Fax(434) 206-8020
Organization SubpartNo
Authorized OfficialJason ItriOwner And Medical Director · (434) 260-9132
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1063235208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4100 OLYMPIA CIR STE 106, Charlottesville, VA 22911
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONGEVITY MEN'S HEALTH CLINIC
Clinic/Center
4100 OLYMPIA CIR STE 106
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 260-3306

Frequently 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 Longevity Health Clinic, Inc's NPI number?

The NPI number for Longevity Health Clinic, Inc is 1063235208. It was assigned to this organization in the NPPES registry on November 6, 2024.

Where is Longevity Health Clinic, Inc located?

Longevity Health Clinic, Inc is located at 4100 Olympia Cir Ste 106, Charlottesville, VA 22911. The listed phone number is (434) 260-3306.

What is Longevity Health Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Longevity Health Clinic, Inc was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.