Organization Active NPI

Vivo Spectrum Laboratory

  • Clinical Medical Laboratory
  • Folsom, CA
National Provider Identifier
1124546999
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VIVO SPECTRUM LABORATORY
Doing business as
Vivo Spec
Practice address
1050 Iron Point Rd
Folsom, CA 95630-8013
Phone
(916) 365-8480
Fax
(916) 365-8493
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeffrey Von Hill, DONPI 1770894362
Title
Ceo/President
Phone
(916) 365-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1050 Iron Point Rd
Folsom, CA 95630-8013

Mailing address

1050 Iron Point Rd
Folsom, CA 95630-8013
Phone (916) 365-8480

Other names 1

  • Vivo Spec Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Iron Point Rd
Ste 200
Folsom, CA 95630

1050 Iron Point Rd
Ste 100
Folsom, CA 95630
Phone (916) 597-2340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124546999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308013",
            "telephone_number": "916-365-8480",
            "fax_number": "916-365-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308013",
            "telephone_number": "916-365-8480",
            "fax_number": "916-365-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO SPECTRUM LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "VON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "916-365-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivo Spec",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.