Organization
VITALCARE LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE ZVICHAPERA MUTSVUNGUMA PHD (PRESIDENT)
(626) 418-2594
Entity
Organization
Contact information
Practice address
17585 STATE HIGHWAY 19 STE 300, CANTON, TX 75103-5796
(626) 418-2594
Mailing address
17585 STATE HIGHWAY 19 STE 100, CANTON, TX 75103-5794
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
06/03/2025
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