Axiom Biogenomics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AXIOM BIOGENOMICS LLC

Practice address

7335 S Lewis Ave Ste 120
Tulsa, OK 74136-6830

Phone

(539) 424-3406

Fax

(972) 848-1362

NPI assigned

Dec 3, 2021

Last updated

Jun 30, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Felecia BrownNPI 1598902447

Title

MBR

Phone

(539) 424-3406

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Axiom Biogenomics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Axiom Biogenomics, LLC

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1629735519
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Felecia Brown, CNM WHNP-BC

  • Women's Health Nurse Practitioner
  • Meridian, MS
  • NPI 1598902447
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1710645072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 S LEWIS AVE STE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366830",
            "telephone_number": "539-424-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 S LEWIS AVE STE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366830",
            "telephone_number": "539-424-3406",
            "fax_number": "972-848-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM BIOGENOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "FELECIA",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "539-424-3406"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gslay@upperechelonlabs.com",
            "affiliation": "N",
            "endpointDescription": "office manager",
            "address_1": "7335 S Lewis Ave Ste 120",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741366830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Aviv
• Amir Awad
• Tanzeel Omer Elamin Awadalla, MBBS
• Saed Fathi Awadallah, M.D.
• Aws Behavioral Health, LLC (AWS Behavioral Health)
• Axiom Biogenomics, LLC
• Lara Ayas, OD
• Jennifer Aycock
• Scott Aycock, MS, LMFT
• Chrishannda Ayers

• Clinical Medical Laboratory in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.