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VITALITY MEDICAL AND WELLNESS CONSULTING LLC
NPI 1992390421
Internal Medicine in Saint Louis, MO

Active since March 05, 2021CLIA 26D2220358 · Waiver
3009 N BALLAS RD STE 215B, SAINT LOUIS, MO 63131(314) 695-8525 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2021, Mar 5, 2021 (2 updates tracked since 2021).

About Vitality Medical And Wellness Consulting Llc NPPES

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

VITALITY MEDICAL AND WELLNESS CONSULTING LLC (NPI 1992390421) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Amy Loden, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992390421
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVITALITY MEDICAL AND WELLNESS CONSULTING LLC
Location Address3009 N BALLAS RD STE 215BSaint Louis, MO 63131-2323
Mailing Address639 Amberwood LnBallwin, MO 63021-5888 · (314) 335-9151 · Fax (256) 292-0400
Phone(314) 695-8525
Organization SubpartNo
Authorized OfficialAmy LodenCeo · (314) 335-9151
Enumeration DateMarch 5, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1992390421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3009 N BALLAS RD STE 215B, Saint Louis, MO 63131
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 26D2220358

Vitality Medical And Wellness Consulting LLC · Saint Louis, MO
Active · expires Apr 11, 2027
CLIA Number26D2220358
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorAmy Loden
Laboratory Phone(314) 695-8525
Laboratory LocationVitality Medical And Wellness Consulting LLC3009 N Ballas Road, Bldg B, Ste 215, Saint Louis, MO 63131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BRITTNEY MARIE TIHEN FNP
Nurse Practitioner
3009 N BALLAS RD STE 215B
SAINT LOUIS, MO 63131
St. Louis County (314) 695-8525

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 And Wellness Consulting LLC's NPI number?

The NPI number for Vitality Medical And Wellness Consulting LLC is 1992390421. It was assigned to this organization in the NPPES registry on March 5, 2021.

Where is Vitality Medical And Wellness Consulting LLC located?

Vitality Medical And Wellness Consulting LLC is located at 3009 N Ballas Rd Ste 215B, Saint Louis, MO 63131. The listed phone number is (314) 695-8525.

What is Vitality Medical And Wellness Consulting LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vitality Medical And Wellness Consulting LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2220358) is associated with this NPI, valid through April 11, 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 And Wellness Consulting LLC was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.