Vibrant America Clinical Lab

LBN: Vibrant America Llc
Vibrant America Clinical Lab is an health care organization with primary practice located at 1021 Howard Avenue Suite B, San Carlos CA 94070-4034. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Vibrant America Llc can be contacted via phone (650) 830-5575, or through Rajasekaran, John Jagazeel via phone (408) 203-9383.

Contact Information

Primary practice address
1021 Howard Avenue Suite B San Carlos CA 94070-4034
Phone: (650) 830-5575
Fax: (650) 508-8260
Website:
Map and Directions
Authorized official contact:
Name: Rajasekaran, John Jagazeel
Phone: (408) 203-9383

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF 00346278 California

Profile Details

NPI number 1407264500
LBN Legal business name Vibrant America Llc
DBA Doing business as Vibrant America Clinical Lab
Authorized official Rajasekaran, John Jagazeel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2014
Last updated Jan 13th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407264500 NPPES
California Other 05D2078809 CLIA NUMBER
California Other CLF 00346278 CLIA NUMBER

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