MEDICARE: VITAFLOW DIAGNOSTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1255286589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAFLOW DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	4701 GALECREST DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-8762
Country	:	US
Telephone Number	:	614-441-6893
Fax Number	:	614-441-6893

Provider Business Practice Location Address
First Line	:	4701 GALECREST DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-8762
Country	:	US
Telephone Number	:	614-441-6893
Fax Number	:	614-441-6893

Authorized Official
Title or Position	:	OWNER
Name	:	CHANTAE ADAMS
Credential	:
Telephone Number	:	614-441-6893

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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