NPI Details
VITALMEDIX SUPPLIES LLC is a clinical medical laboratory in Independence, MO. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. VITALMEDIX SUPPLIES LLC NPI is 1053109710. The provider is registered as an organization entity type.
The provider's business location address is:
10616 E WINNER RD
INDEPENDENCE, MO
ZIP 64052-203
Phone: (872) 331-8174
The provider's authorized official is Unknown Mohammed Mohiuddin Ahmed .
The authorized official title is Manager/president and has the following contact phone number (872) 331-8174.
The CLIA number assigned to this NPI record is 26D2322769 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/30/2025 and was last updated on 4/30/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
