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LIFEVITALITY USA MEDICAL GROUP LLC NPI 1811541469


NPI Information

NPI: 1811541469
Provider Name: LIFEVITALITY USA MEDICAL GROUP, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
464 RICHMOND RD STE 202
RICHMOND HEIGHTS, OH
ZIP 44143
Phone: (330) 824-4200
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LIFEVITALITY USA MEDICAL GROUP, LLC is a multi-specialty clinic center in Richmond Heights, OH. LIFEVITALITY USA MEDICAL GROUP, LLC NPI is 1811541469. The provider is registered as an organization entity type.

The provider's business location address is:

464 RICHMOND RD STE 202
RICHMOND HEIGHTS, OH
ZIP 44143-704
Phone: (330) 824-4200
Fax: (440) 525-5564

The provider's authorized official is Kelli Black .
The authorized official title is Billing Mananger and has the following contact phone number (216) 512-5929.

The enumeration date for this NPI number is 7/31/2019 and was last updated on 7/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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