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1174255038
VITALITY DX LLC
EVANSVILLE, IN
NPI
1174255038
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Entity Type
Organization
Authorized Contact
TAMIA FISHER
Credentialing
812-962-7890
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
VITALITY DX LLC
7145 E VIRGINIA ST STE 4000
EVANSVILLE, IN 47715-9145
Phone number: 812-962-7890
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Mailing Address
VITALITY DX LLC
2211 GREENE WAY
LOUISVILLE, KY 40220-4076
Phone number: 812-962-7890
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