Organization
VITALA HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MARINER NCMA/HEALTHCARE ADMI (CEO)
(309) 536-3235
Entity
Organization
Contact information
Practice address
830 N 2ND ST, MONMOUTH, IL 61462-1230
(309) 536-3235
Mailing address
830 N 2ND ST, MONMOUTH, IL 61462-1230
(309) 536-3235
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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