NPIMap

Organization Active NPI

Vitalis Diagnostics

  • Clinical Medical Laboratory
  • Columbia, MD
National Provider Identifier
1760271738
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITALIS DIAGNOSTICS
Practice address
8950 Route 108 Ste 123
Columbia, MD 21045-2146
Phone
(301) 758-4390
Fax
(410) 630-7474
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Bose KalampanayilNPI 1205319159
Title
Owner
Phone
(410) 862-8162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8950 Route 108 Ste 123
Columbia, MD 21045-2146

Mailing address

8950 Route 108 Ste 123
Columbia, MD 21045-2146
Phone (301) 758-4390

National Provider Directory

National Provider Directory

Locations

8950 Route 108
Ste 123
Columbia, MD 21045
Phone (800) 828-5659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1760271738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 ROUTE 108 STE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452146",
            "telephone_number": "301-758-4390",
            "fax_number": "410-630-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 ROUTE 108 STE 123",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452146",
            "telephone_number": "301-758-4390",
            "fax_number": "410-630-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KALAMPANAYIL",
        "authorized_official_first_name": "BOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-862-8162"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.