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Contact Information

VITALIS MILK, LLC
1835 E CHARLESTON BLVD STE 230
LAS VEGAS, NV89104-1971
 Phone: 702-482-9570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Dietary Manager

132700000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for VITALIS MILK, LLC

NPI Number 1518845114
LBN Legal business name VITALIS MILK, LLC
Authorized official DALTON GADAL - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2025
Last updated 03/27/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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