Organization
VITALOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI CHAUVIN (VP)
(985) 542-6007
Entity
Organization
Contact information
Practice address
207 W THOMAS ST, HAMMOND, LA 70401-3252
(985) 542-6007
(985) 542-0038
Mailing address
207 W THOMAS ST, HAMMOND, LA 70401-3252
(985) 542-6007
(985) 542-0038
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
19D1014531
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D1014531
CLIA
—
Enumeration date
06/07/2017
Last updated
07/21/2022
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