Organization
VITALANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVI A SHAH (CHIEF LEGAL & RISK OFFICER)
(480) 675-5653
Entity
Organization
Contact information
Practice address
210 W CATALDO AVE, SPOKANE, WA 99201-2217
(509) 624-0151
(509) 232-4528
Mailing address
210 W CATALDO AVE, SPOKANE, WA 99201-2217
(509) 624-0151
(509) 232-4528
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
50D0661599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50HL02
PTAN
WA
Enumeration date
01/23/2013
Last updated
10/08/2025
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