OrganizationActive
Vitas Laboratory LLC
NPI 1356875553 · Clinical Medical Laboratory · Grand Forks, ND
Provider details
- NPI number
- 1356875553
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Christopher Dooly, Owner(479) 434-5643
Specialties & taxonomies
Laboratories
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1191 S Columbia Rd
Grand Forks, ND 58201-4033
Phone: (479) 434-5643
Street-level locationGet directions
Mailing address
Po Box 23189
Barling, AR 72923-0189
Registry dates
- Enumerated
- 2017-04-13
- Last updated
- 2017-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.