Organization
VITALIS DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSE KALAMPANAYIL (OWNER)
(410) 862-8162
Entity
Organization
Contact information
Practice address
8950 ROUTE 108 STE 123, COLUMBIA, MD 21045-2146
(301) 758-4390
(410) 630-7474
Mailing address
8950 ROUTE 108 STE 123, COLUMBIA, MD 21045-2146
(301) 758-4390
(410) 630-7474
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
07/10/2025
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