HEALIX DIAGNOSTICS
NPI 1508533209
Clinical Medical Laboratory in Idaho Falls, ID

Active since August 30, 2021CLIA 13D2315547 · Certificate of Compliance
1680 ELK CREEK DR # 2, IDAHO FALLS, ID 83404(208) 757-4325 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healix Diagnostics NPPES

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

HEALIX DIAGNOSTICS (NPI 1508533209) is a healthcare organization registered as a clinical medical laboratory in Idaho Falls, Idaho and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through November 20, 2027 and lists Whitney Whitworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1508533209
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameREVITALIZE MEDICAL SUPPLY
Location Address1680 ELK CREEK DR # 2Idaho Falls, ID 83404-1225
Mailing Address4954 E Powerhouse DrIdaho Falls, ID 83406-5064 · (208) 589-0821
Organization SubpartNo
Authorized OfficialWhitney WhitworthOwner · (208) 589-0821
Enumeration DateAugust 30, 2021
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1508533209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
1680 ELK CREEK DR # 2, Idaho Falls, ID 83404

Other Names 1

Doing Business AsHealix Diagnostics

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 Compliance 13D2315547

Healix Diagnostics · Idaho Falls, ID
Active · expires Nov 20, 2027
CLIA Number13D2315547
Laboratory TypeIndependent
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorRachel Horton
Laboratory Phone(208) 757-4325
Laboratory LocationHealix Diagnostics1680 Elk Creek Dr 2nd Fl, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Revitalize Medical Supply's NPI number?

The NPI number for Revitalize Medical Supply is 1508533209. It was assigned to this organization in the NPPES registry on August 30, 2021. The provider is doing business as Healix Diagnostics.

Where is Revitalize Medical Supply located?

Revitalize Medical Supply is located at 1680 Elk Creek Dr # 2, Idaho Falls, ID 83404. The listed phone number is (208) 757-4325.

What is Revitalize Medical Supply's specialty?

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

Does Revitalize Medical Supply hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D2315547) is associated with this NPI, valid through November 20, 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 Revitalize Medical Supply was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.