OrganizationActive
Burgeon Medix LLC
NPI 1134079973 · Clinical Medical Laboratory · Snellville, GA
Provider details
- NPI number
- 1134079973
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Queen-Esther Raphael, Lab Director(470) 469-1945
Specialties & taxonomies
Laboratories
Practice location
2336 Wisteria Dr Ste 510
Snellville, GA 30078-6159
Phone: (470) 469-1945
Approximate (ZIP-level) locationGet directions
Mailing address
2336 Wisteria Dr Ste 510
Snellville, GA 30078-6159
Registry dates
- Enumerated
- 2026-01-31
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.