Organization Active NPI

Vitalpath Medical

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1306750302
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITALPATH MEDICAL
Practice address
15550 Kingfield Dr Apt 1204
Houston, TX 77084-6269
Phone
(945) 206-0473
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Kevin Grubb
Title
Manger
Phone
(945) 206-0473

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Clinical Medical Laboratory 291U00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

15550 Kingfield Dr Apt 1204
Houston, TX 77084-6269

Mailing address

5900 Balcones Dr
Austin, TX 78731-4257

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1306750302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15550 KINGFIELD DR APT 1204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846269",
            "telephone_number": "945-206-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALPATH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "945-206-0473"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.