Organization Active NPI

Vitalpath Diagnostics LLC

  • Clinical Medical Laboratory
  • Austin, TX
National Provider Identifier
1003791682
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITALPATH DIAGNOSTICS LLC
Practice address
5900 Balcones Dr Ste 5278
Austin, TX 78731-4257
Phone
(832) 224-1515
NPI assigned
Aug 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Isis Benitez
Title
Manager
Phone
(832) 224-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 5278
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr Ste 5278
Austin, TX 78731-4257

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2328509Vitalpath Diagnostics LLC5900 Balcones Dr Ste 5278, Austin, TX 78731Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory

Locations

5900 Balcones Dr
Ste 5278
Austin, TX 78731
Phone (832) 224-1515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1003791682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 5278",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 5278",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "832-224-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALPATH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "ISIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-224-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.