Opulent Luxury Laboratory

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

OPULENT LUXURY LABORATORY

Practice address

930 E 162ND St Ste 1033
South Holland, IL 60473-2442

Phone

(708) 200-8675

Fax

(708) 566-2518

NPI assigned

Mar 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Pamela James, PHLEBOTOMIST

Title

Ceo

Phone

(708) 200-8675

Specialties & licenses 1

Addresses

Other names 1

• Opulent Lux Lab LLC. Doing business as

Tax ID family

Opulent Lux Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Opulent Lux Lab

  • Clinical Medical Laboratory
  • Griffith, IN
  • NPI 1710676515
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1114676160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E 162ND ST STE 1033",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732442",
            "telephone_number": "708-200-8675",
            "fax_number": "708-566-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E 162ND ST STE 1033",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732442",
            "telephone_number": "708-200-8675",
            "fax_number": "708-566-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENT LUXURY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-200-8675",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opulent Lux Lab LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Olujimi, CADC
• Omoba Luxury Transit LLC
• One Step at a Time, LTD
• Folarin Opakunle, DNP, FNP, PMHNP
• Optimum Health Chiropractic & Wellness Center, Inc.
• Wojciech Ornowski, MD
• Jesse Lee Owens, M.A, LCSW
• Praveen Parvathala, M.D.
• Dharmesh Kanubhai Patel, M.D.
• Dipeeka Patel, N.P.,

• Phlebotomy Technician in South Holland, IL
• Providers in South Holland, IL by specialty
• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.