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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIQUID LOUNGE HYDRATION DBA IDEAL VITALITY WELLNESS

Active Organization

Laboratory Management Specialist · CHARLOTTE, NC

Registration Details

NPI Number
1720930183
Provider Type
Organization
NPI Issued
Feb 10, 2026 (0.19638521516565 yrs)
Last Updated
Feb 10, 2026

Practice Information

Address
5126 PARK RD STE 2C
CHARLOTTE, NC, 282093748
Browse NC providers · Browse ZIP 28209
Phone
7042477281
Fax
7048005655
Primary Specialty
Laboratory Management Specialist
246QL0900X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.