OPULENT LUXURY LABORATORY NPI 1114676160

NPI Information

  • NPI: 1114676160
  • Provider Name: OPULENT LUXURY LABORATORY
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Organization
  • Doing Business As: OPULENT LUX LAB LLC.
  • Address: 930 E 162ND ST STE 1033
    SOUTH HOLLAND, IL
    ZIP 60473
  • Phone: (708) 200-8675

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NPI Details

OPULENT LUXURY LABORATORY is a phlebotomy technician pathology in South Holland, IL. OPULENT LUXURY LABORATORY NPI is 1114676160. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Opulent Lux Lab Llc..

The provider's business location address is:

930 E 162ND ST STE 1033
SOUTH HOLLAND, IL
ZIP 60473-442
Phone: (708) 200-8675
Fax: (708) 566-2518

The provider's authorized official is Pamela James .
The authorized official title is Ceo and has the following contact phone number (708) 200-8675.

The enumeration date for this NPI number is 3/18/2022 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RP1900XTechnician, PathologyPhlebotomyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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