LIQUID LOUNGE HYDRATION DBA IDEAL VITALITY WELLNESS
NPI 1720930183
Specialist/Technologist, Pathology - Laboratory Management in Charlotte, NC
About Liquid Lounge Hydration Dba Ideal Vitality Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIQUID LOUNGE HYDRATION DBA IDEAL VITALITY WELLNESS (NPI 1720930183), doing business as Ideal Vitality Wellness, is a healthcare organization registered as a laboratory management in Charlotte, North Carolina and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Jennifer Guillaume, Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 34D2337404
Liquid Lounge Hydration LLC Dba Ideal Vitality Wellness · Charlotte, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28209
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 Liquid Lounge Hydration Dba Ideal Vitality Wellness's NPI number?
The NPI number for Liquid Lounge Hydration Dba Ideal Vitality Wellness is 1720930183. It was assigned to this organization in the NPPES registry on February 10, 2026. The provider is doing business as Ideal Vitality Wellness.
Where is Liquid Lounge Hydration Dba Ideal Vitality Wellness located?
Liquid Lounge Hydration Dba Ideal Vitality Wellness is located at 5126 Park Rd Ste 2C, Charlotte, NC 28209. The listed phone number is (704) 247-7281.
What is Liquid Lounge Hydration Dba Ideal Vitality Wellness's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.
Does Liquid Lounge Hydration Dba Ideal Vitality Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2337404) is associated with this NPI, valid through January 21, 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 Liquid Lounge Hydration Dba Ideal Vitality Wellness was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
