Organization Active NPI

Luxe Testfusion LLC

  • Clinical Medical Laboratory
  • Snellville, GA
National Provider Identifier
1619829140
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LUXE TESTFUSION LLC
Practice address
2420 Eastgate PL Ste F-700
Snellville, GA 30078-6199
Phone
(646) 982-4750
NPI assigned
Feb 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kisher Johnson
Title
Ceo
Phone
(646) 982-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2420 Eastgate PL Ste F-700
Snellville, GA 30078-6199

Mailing address

2420 Eastgate PL Ste F-700
Snellville, GA 30078-6199

National Provider Directory

National Provider Directory

Locations

2420 Eastgate Pl
Ste F700
Snellville, GA 30078
Phone (646) 982-4750

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1619829140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 EASTGATE PL STE F-700",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 EASTGATE PL STE F-700",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786199",
            "telephone_number": "646-982-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE TESTFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KISHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-982-4750"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.