Vitality Clinical Laboratories Pllc

LBN: Vitality Clinical Laboratories Pllc
Vitality Clinical Laboratories Pllc is an health care organization with primary practice located at 4643 N 12Th St Ste 101, Phoenix AZ 85014-4006. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Vitality Clinical Laboratories Pllc can be contacted via phone (602) 791-9112, or through Evans, Charles Benjamin via phone (602) 791-9112.

Contact Information

Primary practice address
4643 N 12Th St Ste 101 Phoenix AZ 85014-4006
Phone: (602) 791-9112
Fax: (855) 431-7712
Website:
Map and Directions
Authorized official contact:
Name: Evans, Charles Benjamin Doctor of Medicine (MD)
Phone: (602) 791-9112

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 03D2073405 Arizona

Profile Details

NPI number 1336500867
LBN Legal business name Vitality Clinical Laboratories Pllc
DBA Doing business as
Authorized official Evans, Charles Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2016
Last updated Mar 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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