VITALA HEALTH GROUP LLC
NPI 1568355246
Clinical Medical Laboratory in Monmouth, IL

Active since May 31, 2025CLIA 14D2325514 · Waiver
830 N 2ND ST, MONMOUTH, IL 61462(309) 536-3235 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitala Health Group Llc NPPES

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

VITALA HEALTH GROUP LLC (NPI 1568355246) is a healthcare organization registered as a clinical medical laboratory in Monmouth, Illinois and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Sandy Mariner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568355246
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameVITALA HEALTH GROUP LLC
Location Address830 N 2ND STMonmouth, IL 61462-1230
Mailing Address830 N 2nd StMonmouth, IL 61462-1230 · (309) 536-3235
Organization SubpartNo
Authorized OfficialSandy MarinerCeo · (309) 536-3235
Enumeration DateMay 31, 2025
NPPES CertifiedMay 31, 2025
NPI 1568355246 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.
830 N 2ND ST, Monmouth, IL 61462

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 14D2325514

Vitala Health Group LLC · Monmouth, IL
Active · expires Jun 12, 2027
CLIA Number14D2325514
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorSandy L. Mariner
Laboratory Phone(309) 536-3235
Laboratory LocationVitala Health Group LLC830 N 2nd St, Monmouth, IL 61462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vitala Health Group LLC's NPI number?

The NPI number for Vitala Health Group LLC is 1568355246. It was assigned to this organization in the NPPES registry on May 31, 2025.

Where is Vitala Health Group LLC located?

Vitala Health Group LLC is located at 830 N 2nd St, Monmouth, IL 61462. The listed phone number is (309) 536-3235.

What is Vitala Health Group LLC's specialty?

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

Does Vitala Health Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2325514) is associated with this NPI, valid through June 12, 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 Vitala Health Group LLC was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.