Vitalmedix Supplies LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VITALMEDIX SUPPLIES LLC

Practice address

10616 E Winner Rd
Independence, MO 64052-2203

Phone

(872) 331-8174

NPI assigned

Apr 30, 2025

Last updated

Apr 30, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

VITALMEDIX SUPPLIES LLCAs reported in NPPES

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

Authorized official

Name

Unknown Mohammed Mohiuddin Ahmed

Title

Manager/President

Phone

(872) 331-8174

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Vitalmedix Supplies LLC2 organizations share this tax ID, including this one

Part of

Vitalmedix Supplies LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vitalmedix Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Independence, MO
  • NPI 1356157317
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vitalmedix Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Independence, MO
  • NPI 1356157317
  NPPES parent name

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1053109710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 E 18TH ST S STE 402",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 E WINNER RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522203",
            "telephone_number": "872-331-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALMEDIX SUPPLIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALMEDIX SUPPLIES LLC",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED MOHIUDDIN AHMED",
        "authorized_official_first_name": "UNKNOWN",
        "authorized_official_title_or_position": "MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "872-331-8174"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Villages of Jackson Creek Memory Care LLC (The Villages of Jackson Creek Memory Care)
• Lynette D Vinson, MS CCC SLP
• Visionworks Inc (Visionworks)
• Visionworks, Inc. (Visionworks)
• Bridget J Vitali, MA, PLPC
• Vitalmedix Supplies LLC
• Nikki A Vogel, PA
• Sarah Diane Vogel, RN
• Sandra Elizabeth Vogt-Bankston, LPC
• Angela Michele Vohs, D.O., M.S.

• Clinical Medical Laboratory in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.