NPI 1225962459
Luxury Diagnostics Lab
Practice location
- Address
- 126 Prospect St # 214, Pawtucket, RI 02860-4476
- Phone
- (401) 457-8084
- Mailing address
- 144 Ohio Ave, Providence, RI 02905-4304
Authorised official
- Name
- Kiella Kaomie Sherieves
- Title
- Owner
- Phone
- (401) 457-8084
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1225962459
- Entity type
- Organization
- NPI issued
- 11 Jun 2026
- Record last updated
- 11 Jun 2026
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.