Organization · Type 2 NPI

Vitaledge Diagnostics LLC

Clinical Medical Laboratory · Dallas, TX

NPI number 1366330201 Active

Practice location

4099 Mcewen Rd Ste 132
Dallas, TX 75244-5023

Fax (214) 845-6955

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1366330201

Vitaledge Diagnostics LLC's National Provider Identifier is 1366330201, issued on Jun 27, 2025. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Dallas, TX. The record was last updated on Feb 27, 2026.