Provider Demographics
NPI:1639621659
Name:LUXOR SCIENTIFIC, LLC
Entity Type:Organization
Organization Name:LUXOR SCIENTIFIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-568-8940
Mailing Address - Street 1:1327 MILLER RD STE F
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5786
Mailing Address - Country:US
Mailing Address - Phone:864-568-8940
Mailing Address - Fax:
Practice Address - Street 1:1327 MILLER RD STE F
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5786
Practice Address - Country:US
Practice Address - Phone:864-568-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory