Provider Demographics
NPI:1033515176
Name:VITALUS HEALTH LLC
Entity type:Organization
Organization Name:VITALUS HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAUTILYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-968-2300
Mailing Address - Street 1:2727 ALLEN PARKWAY SUITE 1915
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-2115
Mailing Address - Country:US
Mailing Address - Phone:281-968-2300
Mailing Address - Fax:281-968-2301
Practice Address - Street 1:10019 MAIN ST
Practice Address - Street 2:SUITE A9-A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5256
Practice Address - Country:US
Practice Address - Phone:832-831-3682
Practice Address - Fax:713-588-2670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty