Organization
VITALITY DX LLC
Active
Other names
Sphere DX
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIA FISHER (CREDENTIALING)
(812) 962-7890
Entity
Organization
Contact information
Practice address
7145 E VIRGINIA ST STE 4000, EVANSVILLE, IN 47715-9145
(812) 962-7890
Mailing address
2211 GREENE WAY, LOUISVILLE, KY 40220-4076
(812) 962-7890
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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