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

NPI Status: Active since March 05, 2021

Contact Information

3009 N BALLAS RD STE 215B
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 695-8525

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  • Organization
  • Internal Medicine
  • CLIA Number: 26D2220358
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-11-2027

About VITALITY MEDICAL AND WELLNESS CONSULTING LLC

This page provides the complete NPI Profile along with additional information for Vitality Medical And Wellness Consulting Llc, an internist established in Saint Louis, Missouri operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1992390421 assigned on March 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Amy Loden Md (Ceo)

NPI
1992390421
Provider Name
VITALITY MEDICAL AND WELLNESS CONSULTING LLC
Entity Type
Organization
Location Address
3009 N BALLAS RD STE 215B SAINT LOUIS, MO 63131
Location Phone
(314) 695-8525
Mailing Address
639 AMBERWOOD LN BALLWIN, MO 63021
Mailing Phone
(314) 335-9151
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2021
Last Update Date
05-03-2021
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An internist like Vitality Medical And Wellness Consulting Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AMY LODEN MD

Authorized Official Title
CEO
Authorized Official Phone
(314) 335-9151

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2220358
Facility Type
Physician Office
Certificate Effective Date
April 12, 2025
Certificate Expiration Date
April 11, 2027
Laboratory Director
AMY LODEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vitality Medical And Wellness Consulting Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992390421
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918269044
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 6 + 9 + 0 + 4 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1992390421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992390421, enumerated in the NPI registry as an "organization" on March 05, 2021

The provider is located at 3009 N Ballas Rd Ste 215b Saint Louis, Mo 63131 and the phone number is (314) 695-8525

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 26D2220358 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 05, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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