1. Home
  2. Directory
  3. Ohio
  4. Macedonia
  5. Technician Pathology
  6. NPI Profile

VIVIDLY PROFOUND LLC
NPI 1184565665
Technician, Pathology - Phlebotomy in Macedonia, OH

Active since April 01, 2026
8210 MACEDONIA COMMONS BLVD, STE 3B #2172, MACEDONIA, OH 44056(440) 561-0986 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vividly Profound Llc NPPES

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

VIVIDLY PROFOUND LLC (NPI 1184565665), doing business as Vitalized Laboratory, is a healthcare organization registered as a phlebotomy in Macedonia, Ohio and active in the NPI registry since April 2026. The organization lists Destiny Harriston, Medical Assistant/phlebotomist, as its authorized official.

NPPES Registry Identity

NPI1184565665
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameVIVIDLY PROFOUND LLC
Location Address8210 MACEDONIA COMMONS BLVD, STE 3B #2172Macedonia, OH 44056
Mailing Address8210 Macedonia Commons Blvd, Ste 3b #2172Macedonia, OH 44056 · (440) 561-0986
Phone(440) 561-0986
Organization SubpartNo
Authorized OfficialDestiny HarristonMedical Assistant/phlebotomist · (440) 561-0986
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1184565665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
8210 MACEDONIA COMMONS BLVD, Macedonia, OH 44056
Open in Google Maps ↗

Other Names 1

Doing Business AsVitalized Laboratory

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. MONICA LYNN CALES DO
Family Medicine
8210 MACEDONIA COMMONS BLVD
MACEDONIA, OH 44056
Summit County (330) 468-0190
THE CLEVELAND CLINIC FOUNDATION
General Practice
8210 MACEDONIA COMMONS BLVD, UNIT 40
MACEDONIA, OH 44056
Summit County (216) 444-2273
DR. MICHAEL ALAN WILLEN D.D.S.
Dentist (General Practice)
8210 MACEDONIA COMMONS BLVD, SUITE #60
MACEDONIA, OH 44056
Summit County (300) 468-1420
PARIS OPTICIANS
Eyewear Supplier
8210 MACEDONIA COMMONS BLVD, SUITE 52
MACEDONIA, OH 44056
Summit County (330) 468-3313
DR. TANNISHIA MARIE GOGGANS D.M.D
Dentist
8210 MACEDONIA COMMONS BLVD
MACEDONIA, OH 44056
Summit County (330) 467-3500
DR. JASON MAJOR DDS
Dentist (General Practice)
8210 MACEDONIA COMMONS BLVD, #6
MACEDONIA, OH 44056
Summit County (330) 467-3500

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 Vividly Profound LLC's NPI number?

The NPI number for Vividly Profound LLC is 1184565665. It was assigned to this organization in the NPPES registry on April 1, 2026. The provider is doing business as Vitalized Laboratory.

Where is Vividly Profound LLC located?

Vividly Profound LLC is located at 8210 Macedonia Commons Blvd Ste 3B #2172, Macedonia, OH 44056. The listed phone number is (440) 561-0986.

What is Vividly Profound LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Vividly Profound LLC was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.