Organization Active NPI

Vitalant

  • Clinical Medical Laboratory
  • Pittsburgh, PA
National Provider Identifier
1306489323
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITALANT
Practice address
201 N Craig St
Pittsburgh, PA 15213-1567
Phone
(412) 209-7456
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Bhavi A Shah
Title
Chief Legal & Risk Officer
Phone
(480) 675-5653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

201 N Craig St
Pittsburgh, PA 15213-1567

Mailing address

875 Greentree Rd
Pittsburgh, PA 15220-3508
Phone (412) 209-7456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200117000732 PA Part B Supplier - Clinic/Group Practice 2961630058 Receives reassigned benefits from 3 practitioners
Practice locations: Pittsburgh, PA
O20200218001901 PA Part B Supplier - Independent Clinical Laboratory 2961630058 Practice locations: Pittsburgh, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
DRS Simon and Smith5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2826 S Potter Dr
Ste B
Tempe, AZ 85282
Phone (602) 850-6230

555 Rio Lindo Ave
Chico, CA 95926
Phone (530) 893-2433

382 E Yosemite Ave
Merced, CA 95340
Phone (209) 724-0428

2680 Larkspur Ln
Redding, CA 96002
Phone (530) 243-0160

210 W Cataldo Ave
Spokane, WA 99201
Phone (509) 232-4424

Practitioners & affiliated clinicians

Practitioners 3

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": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1306489323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENTREE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203508",
            "telephone_number": "412-209-7456",
            "fax_number": "412-209-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CRAIG ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131567",
            "telephone_number": "412-209-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHAVI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF LEGAL & RISK OFFICER",
        "authorized_official_telephone_number": "480-675-5653"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.