Active NPI
Vamplife Labs LLC
- Health Service Clinic/Center
- Rochester, NY
National Provider Identifier
1902662018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- VAMPLIFE LABS LLC
- Practice address
- 1081 Long Pond Rd Unit Suite205
Rochester, NY 14626-5002 - Phone
- (315) 333-0710
- NPI assigned
- Feb 26, 2024
- 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
- Rolanda Stevens, PBT (ASCP)
- Title
- Co Owner
- Phone
- (315) 333-0710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1081 Long Pond Rd Unit Suite205
Rochester, NY 14626-5002
Mailing address
653 Flower City Park
Rochester, NY 14615-3620
Phone (351) 333-0710
National Provider Directory
National Provider DirectoryLocations
1081 Long Pond Rd
Ste 205
Rochester, NY 14626
Phone (315) 333-0710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1902662018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 FLOWER CITY PARK",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146153620",
"telephone_number": "351-333-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 LONG POND RD UNIT SUITE205",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146265002",
"telephone_number": "315-333-0710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAMPLIFE LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "ROLANDA",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "315-333-0710",
"authorized_official_credential": "PBT (ASCP)"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.