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

Vitality Clinical Laboratories PLLC

Organization Clinical Medical Laboratory · NPI 1336500867

Vitality Clinical Laboratories PLLC is a Clinical Medical Laboratory in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4643 N 12th St Ste 101
Phoenix, AZ 85014-4006
Phone: (602) 791-9112
Fax: (855) 431-7712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 03D2073405 (AZ)

Record details

NPI number1336500867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Evans — Laboratory Director · (602) 791-9112
NPI enumeratedMarch 11, 2016
Last updated in NPPESMarch 11, 2016
Mailing address8776 E Shea Blvd, Ste B3a-129, Scottsdale, AZ 85260-6629

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