NPI 1174255038

Vitality Dx LLC

Organisation Clinical Medical Laboratory Evansville, IN

Practice location

Address: 7145 E Virginia St STE 4000, Evansville, IN 47715-9145
Phone: (812) 962-7890
Mailing address: 2211 Greene Way, Louisville, KY 40220-4076

Authorised official

Name: Tamia Fisher
Title: Credentialing
Phone: (812) 962-7890

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1174255038
Entity type: Organization
NPI issued: 29 Jun 2022
Record last updated: 29 Jun 2022

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.