OrganizationActive
Vitality Clinical Laboratories PLLC
NPI 1336500867 · Clinical Medical Laboratory · Phoenix, AZ
Vitality Clinical Laboratories PLLC is a Clinical Medical Laboratory organization in Phoenix, AZ (NPI 1336500867).
Provider details
- NPI number
- 1336500867
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Charles Evans, Laboratory Director(602) 791-9112
- License
- 03D2073405 (AZ)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4643 N 12th St
Ste 101
Phoenix, AZ 85014-4006
Phone: (602) 791-9112
Fax: (855) 431-7712
Street-level locationGet directions
Mailing address
8776 E Shea Blvd
Scottsdale, AZ 85260-6629
Registry dates
- Enumerated
- 2016-03-11
- Last updated
- 2016-03-11
Frequently asked questions
- What is Vitality Clinical Laboratories PLLC's NPI number?
- Vitality Clinical Laboratories PLLC's National Provider Identifier (NPI) is 1336500867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Clinical Laboratories PLLC?
- Vitality Clinical Laboratories PLLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Vitality Clinical Laboratories PLLC located?
- Vitality Clinical Laboratories PLLC's practice location on file with NPPES is 4643 N 12th St, Phoenix, AZ 85014-4006.
- What is Vitality Clinical Laboratories PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Clinical Laboratories PLLC is (602) 791-9112.
- Who is the authorized official for Vitality Clinical Laboratories PLLC?
- The authorized official listed on Vitality Clinical Laboratories PLLC's NPPES record is Charles Evans, Laboratory Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Clinical Laboratories PLLC's NPI active?
- Yes — Vitality Clinical Laboratories PLLC's NPI (1336500867) is active in the NPPES registry as of the last update on 2016-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.