Organization
VITATRACE TESTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONISHA ADAIR MSW (OWNER)
(901) 315-7652
Entity
Organization
Contact information
Practice address
1840 PYRAMID PL # 244, MEMPHIS, TN 38132-1703
(901) 649-5191
Mailing address
1840 PYRAMID PL # 244, MEMPHIS, TN 38132-1703
(901) 649-5191
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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