Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vitalant

Organization Clinical Medical Laboratory · NPI 1548489024

Vitalant is a Clinical Medical Laboratory in Mather, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

10536 Peter A McCuen Blvd
Mather, CA 95655-4128
Phone: (916) 456-1500
Fax: (916) 366-0791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 05D0615608 (CA)
Blood Bank Taxonomy 331L00000X

Record details

NPI number1548489024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavi Shah — Chief Legal & Risk Officer · (480) 675-5653
NPI enumeratedApril 24, 2007
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address10536 Peter A McCuen Blvd, Mather, CA 95655-4128

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