AXIOM BIOGENOMICS, LLC (NPI# 1720636806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720636806 |
| Entity Type | Organization |
| Organization Name | AXIOM BIOGENOMICS, LLC |
| Practice Address |
7335 S Lewis Ave Ste 120 Tulsa OK 74136-6830 |
| Mailing Address |
1105 Southview Ln # 103-140 Tuscaloosa AL 35405-6390 |
| Practice Telephone | 9185500101 |
| Mailing Telephone | 4702359354 |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2019-08-31 |
| Authorized Official Name | REGINAL VINES (CEO) |
| Authorized Official Telephone | 9185500101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
7335 S LEWIS AVE STE 120 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089633 | Wellness Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 120, Tulsa, OK 74105-6563 | 2019-12-05 |
| 1669021622 | National Laboratory Corporation | Clinical Medical Laboratory | 5805 E 15th St Ste 104, Tulsa, OK 74112-6401 | 2019-09-11 |
| 1891280541 | Wellness Federal Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 121, Tulsa, OK 74105-6563 | 2018-06-26 |
| 1225579915 | Cogent Medical Lab LLC | Clinical Medical Laboratory | 6914 S Yorktown Ave Ste 110, Tulsa, OK 74136-3933 | 2017-03-14 |
| 1982150231 | Taylum Medical LLC | Clinical Medical Laboratory | 3144 S Winston Ave, Tulsa, OK 74135-2012 | 2016-08-28 |
| 1326495433 | Oklahoma State University | Clinical Medical Laboratory | 1111 W 17th St # A-220, Tulsa, OK 74107-1886 | 2016-05-18 |
| 1336556745 | Certigen Laboratory, LLC | Clinical Medical Laboratory | 9309 S Toledo Ave, Suite A, Tulsa, OK 74137-2752 | 2014-07-17 |
| 1578978573 | Precision Analysis Laboratory, LLC | Clinical Medical Laboratory | 2811 E 15th St, Suite 102, Tulsa, OK 74104-5245 | 2014-06-27 |
| 1700213667 | Caldwell Toxicology Labs LLC | Clinical Medical Laboratory | 7133 Riverside Parkway, Suite A, Tulsa, OK 74136 | 2013-10-08 |
| 1912242231 | Respiratory Diagnostic Services | Clinical Medical Laboratory | 2561 E 22nd St, Tulsa, OK 74114-3120 | 2012-11-28 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.