MEDICARE: VITAL LAB 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1497698443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAL LAB LLC

Provider Business Mailing Address
First Line	:	518 PELLIS RD
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-4678
Country	:	US
Telephone Number	:	724-640-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 PELLIS RD
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-4678
Country	:	US
Telephone Number	:	724-640-1577
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MICHAEL KIRK
Credential	:
Telephone Number	:	724-640-1577

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

Similar Medicare Providers

1932366945 — DR. MICHAEL NICHOLAS PLUNDO DO
Practice Location Address:

518 PELLIS RD
GREENSBURG, PA
15601-4678

Practice Phone: 724-832-2570
Practice Fax: 724-832-2521

1831353507 — DR. NICHOLAS ROBERT GROSS DO
Practice Location Address:

518 PELLIS RD
GREENSBURG, PA
15601-4678

Practice Phone: 724-832-2570
Practice Fax: 724-832-2521

1114707072 — TREVOR PLACHTA PTA
Practice Location Address:

518 PELLIS RD
GREENSBURG, PA
15601-4678

Practice Phone: 724-832-1696
Practice Fax:

1831069483 — JACOB MASON BICKERSTAFF PT, DPT
Practice Location Address:

518 PELLIS RD
GREENSBURG, PA
15601-4678

Practice Phone: 724-832-1696
Practice Fax:

1396688263 — LEONA KLINE
Practice Location Address:

532 W PITTSBURGH ST
GREENSBURG, PA
15601-2282

Practice Phone: 724-832-4000
Practice Fax:

1831033059 — CHRISTINE MAHADY
Practice Location Address:

113 ALWINE AVE
GREENSBURG, PA
15601-3209

Practice Phone: 724-454-5844
Practice Fax:

Directions to “VITAL LAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.