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VITASTAT MEDICAL PLLC
NPI 1811232770
Clinic/Center - Medical Specialty in Astoria, NY

Active since December 04, 2012CLIA 33D2061692 · Waiver
2322 BROADWAY, ASTORIA, NY 11106(917) 300-8296(917) 300-8296 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vitastat Medical Pllc NPPES

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

VITASTAT MEDICAL PLLC (NPI 1811232770) is a healthcare organization registered as a medical specialty in Astoria, New York and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Ken Truong, Manager, as its authorized official.

NPPES Registry Identity

NPI1811232770
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameVITASTAT MEDICAL PLLC
Location Address2322 BROADWAYAstoria, NY 11106-4196
Mailing Address8738 20th AveBrooklyn, NY 11214-4802 · (917) 300-8296 · Fax (917) 300-8296
Phone(917) 300-8296
Fax(917) 300-8296
Organization SubpartNo
Authorized OfficialKen TruongManager · (917) 300-8296
Enumeration DateDecember 4, 2012
✔ NPI 1811232770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 254736
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2322 BROADWAY, Astoria, NY 11106
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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 33D2061692

Vitastat Medical PLLC · Astoria, NY
Active · expires Jul 8, 2027
CLIA Number33D2061692
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDr. Ken Truong
Laboratory Phone(347) 829-6680
Laboratory LocationVitastat Medical PLLC2322 Broadway, Astoria, NY 11106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. KEN TRUONG MD
Internal Medicine
2322 BROADWAY
ASTORIA, NY 11106
Queens County (347) 829-6680

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 Vitastat Medical PLLC's NPI number?

The NPI number for Vitastat Medical PLLC is 1811232770. It was assigned to this organization in the NPPES registry on December 4, 2012.

Where is Vitastat Medical PLLC located?

Vitastat Medical PLLC is located at 2322 Broadway, Astoria, NY 11106. The listed phone number is (917) 300-8296.

What is Vitastat Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Vitastat Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2061692) is associated with this NPI, valid through July 8, 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 Vitastat Medical PLLC was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.