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VITAL PRIMARY CARE CLINIC LLC
NPI 1174413124
General Practice in Philadelphia, PA

Active since July 09, 2025CLIA 39D2335916 · Waiver
3334 N FRONT ST, PHILADELPHIA, PA 19140(215) 205-2229 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Jul 9, 2025 (2 updates tracked since 2025).

About Vital Primary Care Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL PRIMARY CARE CLINIC LLC (NPI 1174413124) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Arlenia Paulino, Member, as its authorized official.

NPPES Registry Identity

NPI1174413124
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVITAL PRIMARY CARE CLINIC LLC
Location Address3334 N FRONT STPhiladelphia, PA 19140-5808
Mailing Address3334 N Front StPhiladelphia, PA 19140-5808 · (215) 205-2229
Phone(215) 205-2229
Organization SubpartNo
Authorized OfficialArlenia PaulinoMember · (215) 370-4355
Enumeration DateJuly 9, 2025
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1174413124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3334 N FRONT ST, Philadelphia, PA 19140
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2335916

Vital Primary Care Clinic LLC · Philadelphia, PA
Active · expires Dec 18, 2027
CLIA Number39D2335916
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorDr. Pushpal Banerjee
Laboratory Phone(215) 309-1643
Laboratory LocationVital Primary Care Clinic LLC3334 N Front St, Philadelphia, PA 19140
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMPIRE HOME HEALTH CARE INC
In Home Supportive Care
3334 N FRONT ST
PHILADELPHIA, PA 19140
Philadelphia County (265) 205-2229
GOLDEN CARING TRANSIT CORP
Non-emergency Medical Transport (VAN)
3334 N FRONT ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 309-1624
VIP MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
3334 N FRONT ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 631-3049
INTEGRITY HOME HEALTH SOLUTIONS INC
Home Health
3334 N FRONT ST
PHILADELPHIA, PA 19140
Philadelphia County (267) 524-0871
GOLDEN LIFE LIVING INC
Behavior Analyst
3334 N FRONT ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 309-1687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Primary Care Clinic LLC's NPI number?

The NPI number for Vital Primary Care Clinic LLC is 1174413124. It was assigned to this organization in the NPPES registry on July 9, 2025.

Where is Vital Primary Care Clinic LLC located?

Vital Primary Care Clinic LLC is located at 3334 N Front St, Philadelphia, PA 19140. The listed phone number is (215) 205-2229.

What is Vital Primary Care Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Vital Primary Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2335916) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vital Primary Care Clinic LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.