Vitatrace Testing, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VITATRACE TESTING, LLC

Practice address

1840 Pyramid PL # 244
Memphis, TN 38132-1703

Phone

(901) 649-5191

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Antonisha Adair, MSW

Title

Owner

Phone

(901) 315-7652

Specialties & licenses 1

Addresses

Locations

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": "1114715869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 PYRAMID PL # 244",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381321703",
            "telephone_number": "901-649-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 PYRAMID PL # 244",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381321703",
            "telephone_number": "901-649-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITATRACE TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "ANTONISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-315-7652",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Medical Laboratory in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.