Organization
PROGENTEC DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAN PURUSHOTHAMAN PHD (PRESIDENT & CEO)
(405) 216-4818
Entity
Organization
Contact information
Practice address
655 RESEARCH PKWY STE 538, OKLAHOMA CITY, OK 73104-6276
(405) 216-4818
(833) 335-3314
Mailing address
655 RESEARCH PKWY STE 538, OKLAHOMA CITY, OK 73104-6277
(405) 216-4818
(833) 335-3314
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
01/27/2026
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