VITAMEDX
NPI 1467183996
Clinic/Center - Multi-Specialty in Stone Mountain, GA
About Vitamedx NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAMEDX (NPI 1467183996) is a healthcare organization registered as a multi-specialty in Stone Mountain, Georgia and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Andrea Caeser, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 11D2245022
Vitainfuse Therapy · Stone Mountain, GAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vitainfuse Therapy LLC's NPI number?
The NPI number for Vitainfuse Therapy LLC is 1467183996. It was assigned to this organization in the NPPES registry on June 24, 2022. The provider is doing business as Vitamedx.
Where is Vitainfuse Therapy LLC located?
Vitainfuse Therapy LLC is located at 6254 Memorial Dr Ste F, Stone Mountain, GA 30083. The listed phone number is (770) 558-1029.
What is Vitainfuse Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Vitainfuse Therapy LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2245022) is associated with this NPI, valid through December 7, 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 Vitainfuse Therapy LLC was last updated on October 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.