Vitality Genomics INC
Clinical Medical Laboratory in Plano, TX. Organization (NPI-2).
NPI number1609604149
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1609604149
- Entity type
- Organization (NPI-2)
- Legal business name
- Vitality Genomics INC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
500 N Central Expy Ste 363Plano, TX 75074-6772
Phone 469-605-7250 · Fax 469-868-0874
Mailing address
500 N Central Expy Ste 363Plano, TX 75074-6772
Phone 469-605-7250 · Fax 469-868-0874
Authorized official
Nicholas Rojas
Owner
4696057250
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