Vitas Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VITAS LABORATORY LLC

Practice address

1311 Fort St
Suite J
Barling, AR 72923-2045

Phone

(479) 434-5643

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Christopher Dooley

Title

Owner/ Chief of Operation

Phone

(479) 434-5643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1528507290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23189",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230189",
            "telephone_number": "479-434-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FORT ST",
            "address_2": "SUITE J",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729232045",
            "telephone_number": "479-434-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/ CHIEF OF OPERATION",
        "authorized_official_telephone_number": "479-434-5643"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Vansell
• Louis E Vardaman Jr., MHPP
• Vista Health
• Deanna Vaughn Vitale, LSCSW
• James Vitale, MHPP
• Hien T Vu, LMSW
• Amber Waite
• Michelle Renee Wallace, MHPP
• Sarah Walton
• Shelley Wasson, CPM, LM

• Clinical Medical Laboratory in Barling, AR
• Providers in Barling, AR by specialty
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.