VIBRANT AMERICA LLC NPI 1407264500

NPI Information

  • NPI: 1407264500
  • Provider Name: VIBRANT AMERICA LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: VIBRANT AMERICA CLINICAL LAB
  • Address: 1021 HOWARD AVENUE
    SUITE B
    SAN CARLOS, CA
    ZIP 94070
  • Phone: (650) 830-5575

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NPI Details

VIBRANT AMERICA LLC is a clinical medical laboratory in San Carlos, CA. The provider is (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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. VIBRANT AMERICA LLC NPI is 1407264500. The provider is registered as an organization entity type.
The provider Is Doing Business As Vibrant America Clinical Lab.

The provider's business location address is:

1021 HOWARD AVENUE
SUITE B
SAN CARLOS, CA
ZIP 94070-034
Phone: (650) 830-5575
Fax: (650) 508-8260

The provider's authorized official is John Jagazeel Rajasekaran .
The authorized official title is Ceo and has the following contact phone number (408) 203-9383.

The enumeration date for this NPI number is 8/1/2014 and was last updated on 1/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryCLF 00346278CAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105D2078809OTHERCALIFORNIACLIA NUMBER
2CLF 00346278OTHERCALIFORNIACALIFORNIA LABORATORY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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