Vitalab Pharmacy Inc

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VITALAB PHARMACY INC

Doing business as

Vasco Infusion

Practice address

7615 W Thunderbird Rd Ste 106
Peoria, AZ 85381-6083

Phone

(602) 346-0204

Fax

(877) 637-6691

NPI assigned

Dec 13, 2016

Organization subpart

Yes

Parent organization

ALERACARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Paul Vasiliauskas

Title

Sr VP Business Development

Phone

(602) 971-6950

Specialties & licenses 1

Addresses

Other names 1

• Vasco Infusion Doing business as

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1578007308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 163",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322240",
            "telephone_number": "602-971-6950",
            "fax_number": "602-404-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W THUNDERBIRD RD STE 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816083",
            "telephone_number": "602-346-0204",
            "fax_number": "877-637-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALAB PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERACARE HOLDINGS LLC",
        "enumeration_date": "2016-12-13",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "VASILIAUSKAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "602-971-6950"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vasco Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vasco Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infusion Therapy Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Infusion Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.