Provider Demographics
NPI:1659136547
Name:LUX MEDICAL SERVICES
Entity Type:Organization
Organization Name:LUX MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARNOOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGARZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-270-7859
Mailing Address - Street 1:4471 DEAN MARTIN DR UNIT 2710
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4245
Mailing Address - Country:US
Mailing Address - Phone:888-200-6041
Mailing Address - Fax:
Practice Address - Street 1:4471 DEAN MARTIN DR UNIT 2710
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4245
Practice Address - Country:US
Practice Address - Phone:888-200-6041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty