Vitalant

LBN: Vitalant
Vitalant is an health care organization with primary practice located at 10536 Peter A Mccuen Blvd , Mather CA 95655-4128. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Blood Bank. Laboratories / Clinical Medical Laboratory is the primary health care specialty. Vitalant can be contacted via phone (916) 456-1500, or through Perry, Tanya via phone (480) 675-5506.

Contact Information

Primary practice address
10536 Peter A Mccuen Blvd Mather CA 95655-4128
Phone: (916) 456-1500
Fax: (916) 366-0791
Website:
Map and Directions
Authorized official contact:
Name: Perry, Tanya
Phone: (480) 675-5506

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 05D0615608 California
Suppliers / Blood Bank 331L00000X

Profile Details

NPI number 1548489024
LBN Legal business name Vitalant
DBA Doing business as
Authorized official Perry, Tanya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated May 22nd, 2020 - about 4 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 1548489024 NPPES
California MEDICAID ZZZ74771Z

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