Active NPI
Luxor Scientific, LLC
- Clinical Medical Laboratory
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LUXOR SCIENTIFIC, LLC
- Practice address
- 1327 Miller Rd Ste F
Greenville, SC 29607-5786 - Phone
- (864) 568-8940
- Fax
- (800) 421-8639
- NPI assigned
- Oct 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Ryan Flanagan
- Title
- Ceo
- Phone
- (864) 568-8940
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | |||
| Cytopathology Physician | 207ZC0500X | |||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | |||
| Anatomic Pathology Physician | 207ZP0101X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1327 Miller Rd Ste F
Greenville, SC 29607-5786
Mailing address
1327 Miller Rd Ste F
Greenville, SC 29607-5786
Phone (864) 568-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L00570 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170227001760 | SC | Part B Supplier - Independent Clinical Laboratory | 8921382524 | Practice locations: Greenville, SC; Myrtle Beach, SC |
| O20220315000161 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921382524 | Practice locations: Greenville, SC |
| O20231019003600 | TX | Part B Supplier - Independent Clinical Laboratory | 8921382524 | Practice locations: Addison, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2120659 | Luxor Scientific | Accreditation | Dec 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
1327 Miller Rd
Ste F
Greenville, SC 29607
Phone (864) 568-8940
4955 Highway 17 Byp S
Myrtle Beach, SC 29577
Phone 86456889406684
15916 Midway Rd
Addison, TX 75001
Phone (864) 568-8940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diplomate Laboratory Management Specialist/Technologist
- Greenville, SC
- NPI 1528510559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1639621659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 MILLER RD STE F",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075786",
"telephone_number": "864-568-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 MILLER RD STE F",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075786",
"telephone_number": "864-568-8940",
"fax_number": "800-421-8639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUXOR SCIENTIFIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-25",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "864-568-8940"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Molecular Genetic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L00570",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.