Organization
LUXURY DIAGNOSTICS LAB
Active
Organization
LUXURY DIAGNOSTICS LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIELLA KAOMIE SHERIEVES (OWNER)
(401) 457-8084
Entity
Organization
Contact information
Practice address
126 PROSPECT ST # 214, PAWTUCKET, RI 02860-4476
(401) 457-8084
Mailing address
144 OHIO AVE, PROVIDENCE, RI 02905-4304
(401) 677-6594
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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