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

Vitalmedix Supplies LLC

Organization Clinical Medical Laboratory · NPI 1053109710

Vitalmedix Supplies LLC is a Clinical Medical Laboratory in Independence, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10616 E Winner Rd
Independence, MO 64052-2203
Phone: (872) 331-8174
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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

Record details

NPI number1053109710
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVitalmedix Supplies LLC
Authorized official Unknown Mohammed Mohiuddin Ahmed — Manager/President · (872) 331-8174
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 22, 2025
Mailing address10616 E 18th St S Ste 402, Independence, MO 64052-2203

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