Organization
OPULENT LUX LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA JAMES CRMA PHLEBOTOMIST (CEO/OWNER)
(708) 200-8675
Entity
Organization
Contact information
Practice address
1018 E 35TH AVE APT OL, GRIFFITH, IN 46319-1218
(708) 200-8675
Mailing address
1018 E 35TH AVE APT OL, GRIFFITH, IN 46319-1218
(708) 200-8675
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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