Healthcare Provider Details

I. General information

NPI: 1790840593
Provider Name (Legal Business Name): OGENIX CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23230 CHAGRIN BLVD BLDG. 3, SUITE 950
BEACHWOOD OH
44122-5446
US

IV. Provider business mailing address

23230 CHAGRIN BLVD BLDG. 3, SUITE 950
BEACHWOOD OH
44122-5446
US

V. Phone/Fax

Practice location:
  • Phone: 216-839-0202
  • Fax: 781-702-6293
Mailing address:
  • Phone: 216-839-0202
  • Fax: 781-702-6293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SRINIVASAN SARANGAPANI
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 781-702-6732