| NPI | 1962133272 |
|---|---|
| Doing Business As | VIBRANT DIAGNOSTICS LLC |
| Entity Type | Organization |
| Authorized Contact | SHIANDRA KEYATA DAVIS Owner 843-373-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-06-19 |
| Last Update Date | 2022-06-19 |