Vitalmedix Supplies LLC

NPI #1053109710 in Independence, Missouri

Provider Information

NPI Number
1053109710
Entity Type
Organization
Organization Name
Vitalmedix Supplies LLC
Subpart
Yes (part of a larger organization)
Parent Organization
VITALMEDIX SUPPLIES LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 30, 2025
Last Updated
Apr 30, 2025

Practice Location

Address
10616 E WINNER RD
ZIP Code
64052-2203
Phone
(872) 331-8174

Authorized Official

Name
UNKNOWN MOHAMMED MOHIUDDIN AHMED
Title
MANAGER/PRESIDENT
Phone
(872) 331-8174

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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