Organization Active NPI

Vitalcare Labs, LLC

  • Clinical Medical Laboratory
  • Canton, TX
National Provider Identifier
1932989241
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITALCARE LABS, LLC
Practice address
17585 State Highway 19 Ste 300
Canton, TX 75103-5796
Phone
(626) 418-2594
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Lorraine Zvichapera Mutsvunguma, PHD
Title
President
Phone
(626) 418-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17585 State Highway 19 Ste 300
Canton, TX 75103-5796

Mailing address

17585 State Highway 19 Ste 100
Canton, TX 75103-5794

National Provider Directory

National Provider Directory

Locations

17585 State Highway 19
Ste 300
Canton, TX 75103
Phone (626) 418-2594

17585 State Highway 19
Ste 100
Canton, TX 75103

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1932989241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17585 STATE HIGHWAY 19 STE 100",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751035794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17585 STATE HIGHWAY 19 STE 300",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751035796",
            "telephone_number": "626-418-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "MUTSVUNGUMA",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "ZVICHAPERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-418-2594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.