VITALITY CLINICAL LABORATORIES PLLC
NPI 1336500867
Clinical Medical Laboratory in Phoenix, AZ

Active since March 11, 2016
4643 N 12TH ST, STE 101, PHOENIX, AZ 85014(602) 791-9112(855) 431-7712 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vitality Clinical Laboratories Pllc NPPES

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

VITALITY CLINICAL LABORATORIES PLLC (NPI 1336500867) is a healthcare organization registered as a clinical medical laboratory in Phoenix, Arizona and active in the NPI registry since March 2016. The organization lists Charles Benjamin Evans, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1336500867
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameVITALITY CLINICAL LABORATORIES PLLC
Location Address4643 N 12TH ST, STE 101Phoenix, AZ 85014-4006
Mailing Address8776 E Shea Blvd, Ste B3a-129Scottsdale, AZ 85260-6629 · (602) 791-9112 · Fax (855) 431-7712
Fax(855) 431-7712
Organization SubpartNo
Authorized OfficialCharles Benjamin EvansLaboratory Director · (602) 791-9112
Enumeration DateMarch 11, 2016
NPI 1336500867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in AZ · 03D2073405
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
4643 N 12TH ST, Phoenix, AZ 85014

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
4643 N 12TH ST, STE 101
PHOENIX, AZ 85014

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 Vitality Clinical Laboratories PLLC's NPI number?

The NPI number for Vitality Clinical Laboratories PLLC is 1336500867. It was assigned to this organization in the NPPES registry on March 11, 2016.

Where is Vitality Clinical Laboratories PLLC located?

Vitality Clinical Laboratories PLLC is located at 4643 N 12th St Ste 101, Phoenix, AZ 85014. The listed phone number is (602) 791-9112.

What is Vitality Clinical Laboratories PLLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Vitality Clinical Laboratories PLLC was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.