VITAL LAB SERVICES, INC
NPI 1336810472
Clinical Medical Laboratory in Saint Louis, MO
About Vital Lab Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL LAB SERVICES, INC (NPI 1336810472) is a healthcare organization registered as a clinical medical laboratory in Saint Louis, Missouri and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Shaunice Shelton, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vital Lab Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 26D2174394
Vital Lab Services Inc · Saint Louis, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63133
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 Lab Services, Inc's NPI number?
The NPI number for Vital Lab Services, Inc is 1336810472. It was assigned to this organization in the NPPES registry on September 27, 2021.
Where is Vital Lab Services, Inc located?
Vital Lab Services, Inc is located at 6439 Plymouth Ave Ste 127, Saint Louis, MO 63133. The listed phone number is (636) 465-3004.
What is Vital Lab Services, Inc's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Vital Lab Services, Inc enrolled in Medicare?
Yes. Vital Lab Services, Inc is registered in the Medicare PECOS enrollment system.
When is Vital Lab Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Vital Lab Services, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2174394) is associated with this NPI, valid through October 30, 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 Lab Services, Inc was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.