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LIFETIME WOMEN'S HEALTH & FITNESS CENTERS P.C.
NPI 1093068371
Specialist in Suffolk, VA

Active since October 24, 2012CLIA 49D2054588 · Microscopy
1037 CHAMPIONS WAY, SUITE 300, SUFFOLK, VA 23435(757) 395-7414(757) 923-4607 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Women's Health & Fitness Centers P.c. NPPES

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

LIFETIME WOMEN'S HEALTH & FITNESS CENTERS P.C. (NPI 1093068371) is a healthcare organization registered as a specialist in Suffolk, Virginia and active in the NPI registry since October 2012. The organization holds a CLIA Microscopy certificate valid through February 24, 2027 and lists Edward Ellison Wing, President, as its authorized official.

NPPES Registry Identity

NPI1093068371
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLIFETIME WOMEN'S HEALTH & FITNESS CENTERS P.C.
Location Address1037 CHAMPIONS WAY, SUITE 300Suffolk, VA 23435-3764
Mailing Address3575 Bridge Rd, Suite 8 Pmb 433Suffolk, VA 23435-1800 · (757) 395-7414 · Fax (757) 923-4607
Phone(757) 395-7414
Fax(757) 923-4607
Organization SubpartNo
Authorized OfficialEdward Ellison WingPresident · (757) 395-7414
Enumeration DateOctober 24, 2012
✔ NPI 1093068371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101240033
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1037 CHAMPIONS WAY, Suffolk, VA 23435
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Other Identifiers 1

Medicare UPING36805VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2054588

Lifetime Women's Health And Wellness Centers · Suffolk, VA
Active · expires Feb 24, 2027
CLIA Number49D2054588
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorEdward E. Wing
Laboratory Phone(757) 335-7165
Laboratory LocationLifetime Women's Health And Wellness Centers1037 Champions Way - Suite 300, Suffolk, VA 23435
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. KAITLIN MARTHA MIHALICK AUDIOLOGIST
Audiologist
1037 CHAMPIONS WAY, STE 100
SUFFOLK, VA 23435
Suffolk City (757) 547-9714
MR. EDWARD ELLISON WING M.D.
Obstetrics & Gynecology
1037 CHAMPIONS WAY, SUITE 300
SUFFOLK, VA 23435
Suffolk City (757) 335-7165
ALNEADER KENNER-WOODARD CNM
Advanced Practice Midwife
1037 CHAMPIONS WAY, SUITE 300
SUFFOLK, VA 23435
Suffolk City (757) 335-7165

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 Lifetime Women's Health & Fitness Centers P.C.'s NPI number?

The NPI number for Lifetime Women's Health & Fitness Centers P.C. is 1093068371. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Lifetime Women's Health & Fitness Centers P.C. located?

Lifetime Women's Health & Fitness Centers P.C. is located at 1037 Champions Way Suite 300, Suffolk, VA 23435. The listed phone number is (757) 395-7414.

What is Lifetime Women's Health & Fitness Centers P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lifetime Women's Health & Fitness Centers P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D2054588) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifetime Women's Health & Fitness Centers P.C. was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.