Organization Active NPI

Vibrant Lab Solutions, LLC

  • Clinical Medical Laboratory
  • McComb, MS
National Provider Identifier
1548119191
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VIBRANT LAB SOLUTIONS, LLC
Practice address
1124 Quail Ridge Dr
McComb, MS 39648-5537
Phone
(601) 341-8008
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Candace A Samuels, BSN, RN
Title
Ceo
Phone
(601) 341-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1124 Quail Ridge Dr
McComb, MS 39648-5537

Mailing address

1124 Quail Ridge Dr
McComb, MS 39648-5537
Phone (601) 341-8008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1548119191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 QUAIL RIDGE DR",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396485537",
            "telephone_number": "601-341-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 QUAIL RIDGE DR",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396485537",
            "telephone_number": "601-341-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LAB SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-341-8008",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.