OrganizationActive
Luxurious Lab Testing LLC
NPI 1710769039 · Prevention Professional · Lawton, OK
Provider details
- NPI number
- 1710769039
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Deondralique Greene, Lab Director(817) 401-7344
Specialties & taxonomies
Other Service Providers
Practice location
5108 W Gore Blvd Ste 1
Lawton, OK 73505-6025
Phone: (866) 278-5565
Fax: (682) 704-2317
Approximate (ZIP-level) locationGet directions
Mailing address
6112 Mccart Ave
Fort Worth, TX 76133-3381
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2025-08-16
- Certified
- 2025-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.