Organization
VITALMEDIX SUPPLIES LLC
Active
Parent organization
VITALMEDIX SUPPLIES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITALMEDIX SUPPLIES LLC
Authorized official
UNKNOWN MOHAMMED MOHIUDDIN AHMED (MANAGER/PRESIDENT)
(872) 331-8174
Entity
Organization
Contact information
Practice address
10616 E WINNER RD, INDEPENDENCE, MO 64052-2203
(872) 331-8174
Mailing address
10616 E 18TH ST S STE 402, INDEPENDENCE, MO 64052-2203
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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