Vital Vessels Mobile Labs LLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

VITAL VESSELS MOBILE LABS LLC

Practice address

2120 44TH St SE
Kentwood, MI 49508-5321

Phone

(616) 965-5701

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

Johnnesha Henderson

Title

Owner

Phone

(616) 965-5701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1962320499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085321",
            "telephone_number": "616-965-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085321",
            "telephone_number": "616-965-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL VESSELS MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JOHNNESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-965-5701"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Laboratory Technician in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Medical Laboratory Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.