Organization
LUXURIOUS LAB DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN JONES PA (AUTHORIZED OFFICIAL)
(870) 718-6543
Entity
Organization
Contact information
Practice address
1327 EMPIRE CENTRAL DR STE 205, DALLAS, TX 75247-4018
(254) 248-8387
Mailing address
1327 EMPIRE CENTRAL DR STE 205, DALLAS, TX 75247-4018
(254) 248-8387
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497416549
CLINIC
TX
Enumeration date
05/20/2022
Last updated
06/22/2022
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