Provider Demographics
NPI:1841399771
Name:PGXHEALTH, LLC
Entity type:Organization
Organization Name:PGXHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE V.P.
Authorized Official - Prefix:MR
Authorized Official - First Name:CAESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BELBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-527-9933
Mailing Address - Street 1:100 PERIMETER PARK DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9715
Mailing Address - Country:US
Mailing Address - Phone:919-468-8890
Mailing Address - Fax:919-468-8766
Practice Address - Street 1:100 PERIMETER PARK DR
Practice Address - Street 2:SUITE C
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9715
Practice Address - Country:US
Practice Address - Phone:919-468-8890
Practice Address - Fax:919-468-8766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COGENICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-21
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory