Vitality DX LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VITALITY DX LLC

Doing business as

Sphere DX

Practice address

7145 E Virginia St Ste 4000
Evansville, IN 47715-9145

Phone

(812) 962-7890

NPI assigned

Jun 29, 2022

Last updated

Jun 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamia Fisher

Title

Credentialing

Phone

(812) 962-7890

Specialties & licenses 1

Addresses

Other names 1

• Sphere DX Doing business as

Locations

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1174255038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204076",
            "telephone_number": "812-962-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST STE 4000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159145",
            "telephone_number": "812-962-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TAMIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "812-962-7890"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sphere DX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.