Vital Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VITAL CLINICAL LABORATORY INC

Practice address

16910 Dallas Pkwy Ste 102
Dallas, TX 75248-1927

Phone

(469) 906-1005

Fax

(469) 906-1006

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Ghevond Kechyan

Title

Ceo

Phone

(469) 906-1005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1235024290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16910 DALLAS PKWY STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481927",
            "telephone_number": "469-906-1005",
            "fax_number": "469-906-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16910 DALLAS PKWY STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481927",
            "telephone_number": "469-906-1005",
            "fax_number": "469-906-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "KECHYAN",
        "authorized_official_first_name": "GHEVOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-906-1005"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vita Chiropractic, PLLC (VITA Chiropractic & Wellness Center)
• Vita Therapy PLLC
• Vitacare DME LLC
• Vitacare, Inc.
• Ana Elizabeth Vitacco, RN
• Vital Emergency Partners PA
• Vital Force Wellness, P.a.
• Vital Home Health Services, LLC
• Vital Hospital Partners PA
• Vital House Calls, LLC

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.