Vibrant Health & Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIBRANT HEALTH & DIAGNOSTICS LLC

Practice address

102 N 2ND Ave E Ste B
Newton, IA 50208-3237

Phone

(641) 243-2336

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Jimmy Washington

Title

Accountant

Phone

(641) 243-2336

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1396493771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N 2ND AVE E STE B",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 2ND AVE E STE B",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083237",
            "telephone_number": "641-243-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT HEALTH & DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "641-243-2336"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@direct.vibranthealthdiagnostics.com",
            "affiliation": "N",
            "address_1": "102 N 2nd Ave E Ste B",
            "city": "Newton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502083237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel L Van Kley, PT
• Kade Vander Molen, PT, DPT
• Karen Ann Vanderhoff, PHD
• Patricia M. Vanzante, MSW
• Shelly R Vesper, OTR
• Wal-Mart Stores Inc
• Walgreen Co
• Amanda Jayne Walker
• Walmart Inc.
• Elizabeth Ann Watson, PHARM.D.

• Clinical Medical Laboratory in Newton, IA
• Providers in Newton, IA by specialty
• Clinical Medical Laboratory in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.