NPI 1053109710
Vitalmedix Supplies LLC
Practice location
- Address
- 10616 E Winner Rd, Independence, MO 64052-2203
- Phone
- (872) 331-8174
- Mailing address
- 10616 E 18th St S STE 402, Independence, MO 64052-2203
Authorised official
- Name
- Unknown Mohammed Mohiuddin Ahmed
- Title
- Manager/President
- Phone
- (872) 331-8174
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1053109710
- Entity type
- Organization
- NPI issued
- 30 Apr 2025
- Record last updated
- 30 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.