VITALITY ANTI-AGING CENTER AND MED SPA
NPI 1285751008
Physician Assistant - Medical in Hickory, NC

Q: What is Vitality Anti-Aging Center And Med Spa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since March 25, 2007CLIA 34D1068364 · Microscopy

74 8TH ST SE, SUITE 101, HICKORY, NC 28602(828) 322-1498(828) 322-2835 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vitality Anti-aging Center And Med Spa NPPES

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

VITALITY ANTI-AGING CENTER AND MED SPA (NPI 1285751008) is a healthcare organization registered as a medical in Hickory, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through February 13, 2028 and lists Grace Mclaurin, Owner, as its authorized official.

NPPES Registry Identity

NPI1285751008

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameVITALITY ANTI-AGING CENTER AND MED SPA

Location Address74 8TH ST SE, SUITE 101Hickory, NC 28602-1130

Mailing Address74 8th Street Se, Suite 101Hickory, NC 28602-4942 · (828) 322-1498 · Fax (828) 322-2835

Phone(828) 322-1498

Fax(828) 322-2835

Organization SubpartNo

Authorized OfficialGrace MclaurinOwner · (828) 322-1498

Enumeration DateMarch 25, 2007

Last NPPES UpdateNovember 24, 2014

✔ NPI 1285751008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

74 8TH ST SE, Hickory, NC 28602

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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) 34D1068364

Vitality Anti-Aging Center & Med Spa · Hickory, NC

Active · expires Feb 13, 2028

CLIA Number34D1068364

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 14, 2026

Certificate Expiration DateFebruary 13, 2028

Laboratory DirectorGrace W. Mclauren

Laboratory Phone(828) 322-1498

Laboratory LocationVitality Anti-Aging Center & Med Spa74 8th Street SE, Suite 101, Hickory, NC 28602

CLIA data matches this NPI record on: Address Phone

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

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

MARCUS TODD HINCEMAN N.P.

Nurse Practitioner (Family)

74 8TH ST SE, SUITE 101
HICKORY, NC 28602

Catawba County (828) 322-1498

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 Vitality Anti-Aging Center And Med Spa's NPI number?

The NPI number for Vitality Anti-Aging Center And Med Spa is 1285751008. It was assigned to this organization in the NPPES registry on March 25, 2007.

Where is Vitality Anti-Aging Center And Med Spa located?

Vitality Anti-Aging Center And Med Spa is located at 74 8th St SE Suite 101, Hickory, NC 28602. The listed phone number is (828) 322-1498.

What is Vitality Anti-Aging Center And Med Spa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Vitality Anti-Aging Center And Med Spa hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1068364) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitality Anti-Aging Center And Med Spa was last updated on November 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.