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
- City
- Independence
- State
- Missouri
- 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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