NPI 1942617071

Vitalistics, LLC

Organisation Physiological Laboratory Omaha, NE

Practice location

Address: 222 S 15th St # 1005n, Omaha, NE 68102-1680
Phone: (844) 550-9970
Fax: (844) 550-9971
Mailing address: 5930 E Pima St #232, Tucson, AZ 85712-4370

Authorised official

Name: Jennifer Stephenson
Title: Coo
Phone: (844) 550-9970

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1942617071
Entity type: Organization
NPI issued: 21 Jul 2014
Record last updated: 3 Apr 2018

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.