Organization
VITALITY LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA HEALY (OWNER)
(980) 333-7929
Entity
Organization
Contact information
Practice address
8001 RAINTREE LN STE 213, CHARLOTTE, NC 28277-8919
(704) 209-9832
Mailing address
8001 RAINTREE LN STE 213, CHARLOTTE, NC 28277-8919
(704) 209-9832
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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