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VITALITY MEDICAL CENTER
NPI 1457591182
Clinic/Center in Las Vegas, NV

Active since February 20, 2009CLIA 29D2201249 · Waiver
8785 W. WARM SPRINGS RD., SUITE 109, LAS VEGAS, NV 89148(702) 731-1200(702) 736-6302 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitality Medical Center NPPES

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

VITALITY MEDICAL CENTER (NPI 1457591182) is a healthcare organization registered as a clinic/center in Las Vegas, Nevada and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Samuel Antonio Mujica Trenche, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1457591182
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVITALITY MEDICAL CENTER
Location Address8785 W. WARM SPRINGS RD., SUITE 109Las Vegas, NV 89148-1823
Mailing Address8785 W Warm Springs Rd, Suite 109Las Vegas, NV 89148-1823 · (702) 731-1200 · Fax (702) 736-6302
Phone(702) 731-1200
Fax(702) 736-6302
Organization SubpartNo
Authorized OfficialSamuel Antonio Mujica TrencheMedical Director · (702) 731-1200
Enumeration DateFebruary 20, 2009
✔ NPI 1457591182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NV · 5456
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).
8785 W. WARM SPRINGS RD., Las Vegas, NV 89148
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Other Identifiers 1

Medicare UPINC96777NV

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 of Waiver 29D2201249

Vitality Medical And Wellness Center · Las Vegas, NV
Active · expires Nov 18, 2026
CLIA Number29D2201249
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorCristy M. Thomas
Laboratory Phone(702) 731-1200
Laboratory LocationVitality Medical And Wellness Center311 N Buffalo Dr Ste A, Las Vegas, NV 89145
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only 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.

SUMMERLIN CHIROPRACTIC INC,
Health Maintenance Organization
8785 W. WARM SPRINGS RD., SUITE 109
LAS VEGAS, NV 89148
Clark County (702) 731-1200

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 Medical Center's NPI number?

The NPI number for Vitality Medical Center is 1457591182. It was assigned to this organization in the NPPES registry on February 20, 2009.

Where is Vitality Medical Center located?

Vitality Medical Center is located at 8785 W. Warm Springs Rd. Suite 109, Las Vegas, NV 89148. The listed phone number is (702) 731-1200.

What is Vitality Medical Center's specialty?

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

Does Vitality Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2201249) is associated with this NPI, valid through November 18, 2026. 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 Medical Center was last updated on February 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.