VITALITY MEDICAL
NPI 1962930503
Clinic/Center - Primary Care in Sallisaw, OK
About Vitality Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY MEDICAL (NPI 1962930503) is a healthcare organization registered as a primary care in Sallisaw, Oklahoma and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Niko Koliastasis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 37D2133295
Vitality Medical, LLC · Sallisaw, OKOther Providers at the Same Location NPPES
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 Vitality Medical's NPI number?
The NPI number for Vitality Medical is 1962930503. It was assigned to this organization in the NPPES registry on May 26, 2017.
Where is Vitality Medical located?
Vitality Medical is located at 209 N Oak St, Sallisaw, OK 74955. The listed phone number is (918) 636-3930.
What is Vitality Medical's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Vitality Medical hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2133295) is associated with this NPI, valid through July 9, 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 Vitality Medical was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
