Luxury Diagnostics Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LUXURY DIAGNOSTICS LAB

Practice address

126 Prospect St # 214
Pawtucket, RI 02860-4476

Phone

(401) 457-8084

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kiella Kaomie Sherieves

Title

Owner

Phone

(401) 457-8084

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1225962459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OHIO AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054304",
            "telephone_number": "401-677-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST # 214",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-457-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY DIAGNOSTICS LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "SHERIEVES",
        "authorized_official_first_name": "KIELLA",
        "authorized_official_middle_name": "KAOMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-457-8084"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luguang Luo, D.A
• Ivone Alejandra Lurssen
• Jill Lusignan, LMHC
• David Lussier
• Christopher J Luttmann, MD
• Susan Luz, RN
• Robert Alexander Macbeth
• Danielle Renee Macdonald, PA-C
• Michael Theophilus Macijeski, D.C.
• Taina Madeira, LCSW

• Clinical Medical Laboratory in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Clinical Medical Laboratory in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.