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AGELESS VITALITY CENTER
NPI 1649008491
Clinic/Center in Tampa, FL

Active since July 23, 2024CLIA 10D2326711 · Waiver
4810 W MCELROY AVE UNIT 6, TAMPA, FL 33611(813) 955-4289 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ageless Vitality Center NPPES

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

AGELESS VITALITY CENTER (NPI 1649008491) is a healthcare organization registered as a clinic/center in Tampa, Florida and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Elaine Riefkohl Ortiz, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1649008491
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAGELESS VITALITY CENTER
Location Address4810 W MCELROY AVE UNIT 6Tampa, FL 33611-3213
Mailing Address4810 W Mcelroy Ave Unit 6Tampa, FL 33611-3213 · (813) 955-4289
Phone(813) 955-4289
Organization SubpartNo
Authorized OfficialElaine Riefkohl OrtizCo-owner · (813) 895-2830
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1649008491 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).
4810 W MCELROY AVE UNIT 6, Tampa, FL 33611
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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 10D2326711

Ageless Vitality Center LLC · Tampa, FL
Active · expires Jul 8, 2027
CLIA Number10D2326711
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorLuis Mejia-Garcia
Laboratory Phone(813) 955-4289
Laboratory LocationAgeless Vitality Center LLC4730 N Habana Ave, Suite 101, Tampa, FL 33614
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ageless Vitality Center's NPI number?

The NPI number for Ageless Vitality Center is 1649008491. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Ageless Vitality Center located?

Ageless Vitality Center is located at 4810 W Mcelroy Ave Unit 6, Tampa, FL 33611. The listed phone number is (813) 955-4289.

What is Ageless Vitality Center's specialty?

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

Does Ageless Vitality Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2326711) is associated with this NPI, valid through July 8, 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 Ageless Vitality Center was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.