| NPI | 1942617071 |
|---|---|
| Former Legal Business Name | VITALISTICS, INC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER STEPHENSON COO 844-550-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-04-03 |