Provider Demographics
NPI:1790840593
Name:OGENIX CORPORATION
Entity Type:Organization
Organization Name:OGENIX CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SRINIVASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARANGAPANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-702-6732
Mailing Address - Street 1:23230 CHAGRIN BLVD
Mailing Address - Street 2:BLDG. 3, SUITE 950
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5446
Mailing Address - Country:US
Mailing Address - Phone:216-839-0202
Mailing Address - Fax:781-702-6293
Practice Address - Street 1:23230 CHAGRIN BLVD
Practice Address - Street 2:BLDG. 3, SUITE 950
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5446
Practice Address - Country:US
Practice Address - Phone:216-839-0202
Practice Address - Fax:781-702-6293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========002OtherMEDICAL MUTUAL OF OHIO