LIQUID LOUNGE HYDRATION DBA IDEAL VITALITY WELLNESS
NPI 1720930183
Specialist/Technologist, Pathology - Laboratory Management in Charlotte, NC
NPI Status: Active since February 10, 2026
Contact Information
5126 PARK RD STE 2C
CHARLOTTE, NC
ZIP 28209
Phone: (704) 247-7281
Fax: (704) 800-5655
- Organization
- Specialist/Technologist, Pathology
- Laboratory Management
About LIQUID LOUNGE HYDRATION DBA IDEAL VITALITY WELLNESS
This page provides the complete NPI Profile along with additional information for Liquid Lounge Hydration Dba Ideal Vitality Wellness, a provider established in Charlotte, North Carolina operating as a Specialist/technologist, Pathology, focusing in laboratory management . The healthcare provider is registered in the NPI registry with number 1720930183 assigned on February 2026. The practitioner's primary taxonomy code is 246QL0900X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Jennifer Guillaume Bsn, Rn (Operator)
- NPI
- 1720930183
- Provider Name
- LIQUID LOUNGE HYDRATION DBA IDEAL VITALITY WELLNESS
- Entity Type
- Organization
- Location Address
- 5126 PARK RD STE 2C CHARLOTTE, NC 28209
- Location Phone
- (704) 247-7281
- Location Fax
- (704) 800-5655
- Mailing Address
- 5126 PARK RD STE 2C CHARLOTTE, NC 28209
- Mailing Phone
- (704) 247-7281
- Mailing Fax
- (704) 800-5655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-10-2026
- Last Update Date
- 02-10-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist, Pathology Laboratory Management
- Taxonomy Code
- 246QL0900X
- Type
- Technologists, Technicians & Other Technical Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251J00000X | Agencies | Nursing Care |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720930183, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CHARLOTTE, NC 28209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720930183, enumerated as an "organization" on February 10, 2026.
The provider is located at 5126 PARK RD STE 2C CHARLOTTE, NC 28209 and the phone number is (704) 247-7281.
Specialist/Technologist, Pathology with taxonomy code 246QL0900X and a focus in Laboratory Management.
