Vibrance Screening and Wellness LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIBRANCE SCREENING AND WELLNESS LLC

Practice address

223 Calico CT
West Columbia, SC 29172-2608

Phone

(803) 383-5818

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Deaundria FredrickNPI 1861128662

Title

Owner

Phone

(803) 386-7719

Specialties & licenses 1

Addresses

Practitioners 1

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

• Deaundria Fredrick, CPT

  • Community Health Clinic/Center
  • West Columbia, SC
  • NPI 1861128662
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1215616784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 SUNSET BLVD # 1161",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695914",
            "telephone_number": "803-386-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CALICO CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722608",
            "telephone_number": "803-383-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE SCREENING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "FREDRICK",
        "authorized_official_first_name": "DEAUNDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-386-7719"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie G. Vaughn, CRNA, BSN
• Rachael Stone Vaughn
• Wendy Carol Vaughn, LPC-A
• Stephanie W Vaught, CRNA
• Jannette Velez-Nieves
• Wilfredo Austin Villarrubia, PA-C
• Zackary Stark Vincent, MD
• Vision Therapy Institute of SC
• Vitality Medical Centers, Inc.
• Vitality Medical Dispensary, Inc.

• Clinical Medical Laboratory in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.