Healthcare Provider Details

I. General information

NPI: 1053288787
Provider Name (Legal Business Name): VITAL TESTING LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 13TH ST STE 203
OAKLAND CA
94612-3951
US

IV. Provider business mailing address

4645 SPRINGLAKE DR
SAN LEANDRO CA
94578-4834
US

V. Phone/Fax

Practice location:
  • Phone: 510-481-0908
  • Fax: 510-616-4126
Mailing address:
  • Phone: 510-481-0908
  • Fax: 510-616-4126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. MARVIN FINCH
Title or Position: MANAGER
Credential:
Phone: 510-703-4840