NPI 1114676160
Opulent Luxury Laboratory
Practice location
- Address
- 930 E 162nd St STE 1033, South Holland, IL 60473-2442
- Phone
- (708) 200-8675
- Fax
- (708) 566-2518
Authorised official
- Name
- Pamela James
- Title
- Ceo
- Phone
- (708) 200-8675
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1114676160
- Entity type
- Organization
- NPI issued
- 18 Mar 2022
- Record last updated
- 12 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.