Progentec Diagnostics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROGENTEC DIAGNOSTICS INC.

Practice address

655 Research Pkwy Ste 538
Oklahoma City, OK 73104-6276

Phone

(405) 216-4818

Fax

(833) 335-3314

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mohan Purushothaman, PHD

Title

President & Ceo

Phone

(405) 216-4818

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Oklahoma Medical Research Foundation

  • Rheumatology Physician
  • Oklahoma City, OK
  • NPI 1851561625

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1881178010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 RESEARCH PKWY STE 538",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731046277",
            "telephone_number": "405-216-4818",
            "fax_number": "833-335-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 RESEARCH PKWY STE 538",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731046276",
            "telephone_number": "405-216-4818",
            "fax_number": "833-335-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENTEC DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "PURUSHOTHAMAN",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "405-216-4818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Oklahoma City, OK
• Providers in Oklahoma City, 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 Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.