Active NPI
Vital Lab, LLC
- Clinical Medical Laboratory
- Portsmouth, VA
National Provider Identifier
1710588074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- VITAL LAB, LLC
- Practice address
- 355 Crawford St Ste 512
Portsmouth, VA 23704-2816 - Phone
- (757) 971-1460
- Fax
- (757) 594-1460
- NPI assigned
- Nov 3, 2020
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laquanda Caldwell
- Title
- Laboratory Director
- Phone
- (757) 971-1460
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
355 Crawford St Ste 512
Portsmouth, VA 23704-2816
Mailing address
355 Crawford St Ste 512
Portsmouth, VA 23704-2816
Phone (757) 971-1460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49D2199943 | Other | VA | CLIA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2199943 | Vital Lab | Certificate of waiver | Nov 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
355 Crawford St
Ste 512
Portsmouth, VA 23704
Phone (757) 971-1460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1710588074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 CRAWFORD ST STE 512",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042816",
"telephone_number": "757-971-1460",
"fax_number": "757-594-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CRAWFORD ST STE 512",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042816",
"telephone_number": "757-971-1460",
"fax_number": "757-594-1460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL LAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "LAQUANDA",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "757-971-1460"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "49D2199943",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.