Provider Demographics
NPI:1801534805
Name:PURMA BIOLOGICS, LLC
Entity type:Organization
Organization Name:PURMA BIOLOGICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SEIFOLLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AZADI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-822-2830
Mailing Address - Street 1:801 SW 89TH ST STE A2
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9355
Mailing Address - Country:US
Mailing Address - Phone:405-822-2830
Mailing Address - Fax:400-400-2024
Practice Address - Street 1:801 SW 89TH ST STE A2
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9355
Practice Address - Country:US
Practice Address - Phone:405-900-5111
Practice Address - Fax:405-400-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics
No291U00000XLaboratoriesClinical Medical Laboratory