Organization Active NPI

Vitalcore Wellness & Diagnostics LLC

  • Clinical Medical Laboratory
  • Richmond, VA
National Provider Identifier
1346178951
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITALCORE WELLNESS & DIAGNOSTICS LLC
Practice address
2821 N Parham Rd Ste 104
Richmond, VA 23294-4412
Phone
(686) 208-8491
NPI assigned
May 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Simone King
Title
Ceo
Phone
(686) 208-8491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2821 N Parham Rd Ste 104
Richmond, VA 23294-4412

Mailing address

2821 N Parham Rd Ste 104
Richmond, VA 23294-4412
Phone (686) 208-8491

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2342699Vitalcore Wellness & Diagnostics LLC2821 Parham Road 104, Richmond, VA 23294Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

2821 N Parham Rd
Ste 104
Richmond, VA 23294
Phone (686) 208-8491

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1346178951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N PARHAM RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944412",
            "telephone_number": "686-208-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N PARHAM RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944412",
            "telephone_number": "686-208-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCORE WELLNESS & DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "686-208-8491"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.