VIVACIOUS GROUP INC.
NPI 1275702888
Clinic/Center - Primary Care in Burr Ridge, IL
About Vivacious Group Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVACIOUS GROUP INC. (NPI 1275702888) is a healthcare organization registered as a primary care in Burr Ridge, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Anto Maliakkal, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 14D1107160
Vivacious Group Inc · Burr Ridge, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vivacious Group Inc.'s NPI number?
The NPI number for Vivacious Group Inc. is 1275702888. It was assigned to this organization in the NPPES registry on February 27, 2008.
Where is Vivacious Group Inc. located?
Vivacious Group Inc. is located at 8s165 S Vine St, Burr Ridge, IL 60527. The listed phone number is (630) 835-7613.
What is Vivacious Group Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Vivacious Group Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1107160) is associated with this NPI, valid through October 28, 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 Vivacious Group Inc. was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Vivacious Group Inc. · NPI 1275702888
Primary Care organization in Burr Ridge, Illinois. Organization record, active in the CMS NPPES registry since February 27, 2008.
## Identity
- **NPI:** 1275702888 (Entity type: Organization)
- **Enumerated:** February 27, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Anto Maliakkal, PRESIDENT
## Practice location
- **Address:** 8S165 S VINE ST, Burr Ridge, IL 60527-5541
- **Phone:** (630) 835-7613
## Record status
- **NPPES last updated:** May 31, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275702888) · Data from the CMS NPPES public registry.