VITALAB PHARMACY INC (NPI# 1821594102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821594102 |
| Entity Type | Organization |
| Organization Name | VITALAB PHARMACY INC |
| Other Organization Name | VASCO INFUSION |
| Practice Address |
1763 W 24th St Ste 102 Yuma AZ 85364-6219 |
| Mailing Address |
4045 E Bell Rd Ste 163 Phoenix AZ 85032-2240 |
| Practice Telephone | 6023460204 |
| Practice Fax Number | 8776376691 |
| Mailing Telephone | 6029716950 |
| Mailing Fax Number | 6024042504 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | PAUL VASILIAUSKAS (PRESIDENT) |
| Authorized Official Telephone | 6029716950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vasco Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210191 | Vitalab Pharmacy Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| 1083220289 | Vitalab Pharmacy Inc | Clinic/Center | 1501 S Yale St Ste 152, Flagstaff, AZ 86001-7337 | 2020-09-22 |
| 1356957567 | Vitalab Pharmacy Inc | Clinic/Center | 690 E Warner Rd Ste 131, Gilbert, AZ 85296-3057 | 2020-09-22 |
| 1134684616 | Vitalab Pharmacy Inc | Clinic/Center | 2110 W 24th St, Yuma, AZ 85364-8878 | 2019-02-08 |
| 1922596626 | Vitalab Pharmacy Inc | Clinic/Center | 9097 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-6276 | 2018-04-27 |
| 1265938534 | Vitalab Pharmacy Inc | Clinic/Center | 2120 W Ina Rd Ste 100, Tucson, AZ 85741-5501 | 2018-04-04 |
| 1316443690 | Vitalab Pharmacy Inc | Clinic/Center | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2018-04-04 |
| 1245776475 | Vitalab Pharmacy Inc | Clinic/Center | 3900 E Broadway Blvd, Suite 201, Tucson, AZ 85711-3453 | 2017-01-11 |
| 1427592088 | Vitalab Pharmacy Inc | Clinic/Center | 12020 S Warner Elliot Loop, Ste 101, Phoenix, AZ 85044-2700 | 2016-12-15 |
| 1578007308 | Vitalab Pharmacy Inc | Clinic/Center | 7615 W Thunderbird Rd Ste 106, Peoria, AZ 85381-6083 | 2016-12-13 |
| Street Address |
1763 W 24TH ST STE 102 |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073080305 | Yuma Outpatient Medical Services, LLC | Clinic/Center | 2281 W 24th St Ste 14, Yuma, AZ 85364-6197 | 2018-10-24 |
| 1134684616 | Vitalab Pharmacy Inc | Clinic/Center | 2110 W 24th St, Yuma, AZ 85364-8878 | 2019-02-08 |
| 1710165014 | Yuma Ambulatory Infusion Center | Clinic/Center | 2270 S Ridgeview Dr, Ste 130, Yuma, AZ 85364-8875 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557638 | Nourish Health Pllc | Clinic/Center | 31316 N 1st St, Phoenix, AZ 85085-7220 | 2019-03-19 |
| 1821560558 | Kic Scottsdale LLC | Clinic/Center | 10555 N 114th St Ste 105, Scottsdale, AZ 85259-4940 | 2018-12-19 |
| 1770095820 | Optim Ketamine Clinics LLC | Clinic/Center | 10255 N 32nd St Ste B, Phoenix, AZ 85028-3822 | 2017-10-30 |
| 1740790823 | Ketamine Infusion Centers LLC | Clinic/Center | 3724 N 3rd St Ste 201, Phoenix, AZ 85012-2034 | 2017-10-03 |
| 1659894251 | Honorhealth Ambulatory | Clinic/Center | 3501 N Scottsdale Rd Ste 230, Scottsdale, AZ 85251-5649 | 2017-07-25 |
| 1558771378 | H2b2az,llc | Clinic/Center | 29850 N Tatum Blvd, Suite 114, Cave Creek, AZ 85331-5867 | 2014-05-01 |
| 1528251311 | Arizona Medical Infusion | Clinic/Center | 20650 N 29th Pl, Suite 105, Phoenix, AZ 85050-4782 | 2007-08-24 |
| 1225635022 | All Ways Homecare LLC | Clinic/Center | 14631 N Cave Creek Rd Ste 101, Phoenix, AZ 85022-4100 | 2020-10-05 |
| 1124635396 | Colton Health Az, LLC | Clinic/Center | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2020-09-30 |
| 1982210191 | Vitalab Pharmacy Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.