RESTOR METABOLIX OF VIDALIA
NPI 1952062713
Clinic/Center - Infusion Therapy in Vidalia, GA
About Restor Metabolix Of Vidalia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTOR METABOLIX OF VIDALIA (NPI 1952062713) is a healthcare organization registered as an infusion therapy in Vidalia, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Cynthia Holton, Owner, 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 11D2270735
Restor Metabolix Of Vidalia · Vidalia, GAFrequently 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 Restore Metabolix Of Vidalia's NPI number?
The NPI number for Restore Metabolix Of Vidalia is 1952062713. It was assigned to this organization in the NPPES registry on January 4, 2022. The provider is doing business as Restor Metabolix Of Vidalia.
Where is Restore Metabolix Of Vidalia located?
Restore Metabolix Of Vidalia is located at 1805 Manning Dr, Vidalia, GA 30474. The listed phone number is (912) 307-2090.
What is Restore Metabolix Of Vidalia's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.
Does Restore Metabolix Of Vidalia hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2270735) is associated with this NPI, valid through October 19, 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 Restore Metabolix Of Vidalia was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Restor Metabolix Of Vidalia · NPI 1952062713
Infusion Therapy organization in Vidalia, Georgia. Organization record, active in the CMS NPPES registry since January 4, 2022.
## Identity
- **NPI:** 1952062713 (Entity type: Organization)
- **Enumerated:** January 4, 2022
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Legal business name:** Restore Metabolix Of Vidalia
- **Organization subpart:** No
- **Authorized official:** Cynthia Holton, OWNER
## Practice location
- **Address:** 1805 MANNING DR, Vidalia, GA 30474-8921
- **Phone:** (912) 307-2090
## Record status
- **NPPES last updated:** January 14, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952062713) · Data from the CMS NPPES public registry.