Luxurious Lab Testing Llc
Occupational Medicine Clinic/Center in Lawton, OK(View on Map)
Legal Business Name
Luxurious Lab Testing Llc
NPI Number
1710769039
NPI Type
Organization
Enumeration Date
10/20/2023
Specialties
(Taxonomies)Name
Code
261QX0100X
291U00000X
261QH0100X
246RP1900X
261QP0905X
261QU0200X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
3828 CIBOLO DR APT 104
5108 W GORE BLVD STE 1
City
Fort Worth
Lawton
State
TX
OK
Postal Code
76133-5576
73505-6025
Country
US
US
Telephone Number
(817) 401-7344
(866) 278-5565
Authorized Official
Name
Mrs. Deondralique Greene
Title or Position
LAB DIRECTOR
Telephone Number
(817) 401-7344
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/29/2024