Organization · Type 2 NPI
Liquid Lounge Hydration dba Ideal Vitality Wellness
Laboratory Management Specialist/Technologist · Charlotte, NC
NPI number
1720930183
Active
Practice location
5126 Park Rd Ste 2C
Charlotte, NC 28209-3748
Fax (704) 800-5655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Laboratory Management Specialist/Technologist Primary | 246QL0900X | None listed |
| Nursing Care Agency | 251J00000X | None listed |
Laboratory Management Specialist/Technologist: Definition to come...
Another provider at this address
About NPI 1720930183
Liquid Lounge Hydration dba Ideal Vitality Wellness's National Provider Identifier is 1720930183, issued on Feb 10, 2026. The primary taxonomy on file is Laboratory Management Specialist/Technologist (246QL0900X), and the practice location is in Charlotte, NC. The record was last updated on Feb 10, 2026.