The Longevity Lab LLC

NPI #1174311765 in Columbia, Missouri

Provider Information

NPI Number: 1174311765
Entity Type: Organization
Organization Name: The Longevity Lab LLC
Primary Specialty: Internal Medicine - Sleep Medicine
Enumeration Date: Apr 25, 2025
Last Updated: Apr 25, 2025

Practice Location

Address: 100 S KEENE ST
City: Columbia
State: Missouri
ZIP Code: 65201-6603
Phone: (573) 968-6822

Authorized Official

Name: DR. MOHAMMAD JARBOU, MD
Title: CO-OWNER
Phone: (573) 639-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine - Sleep Medicine — Sleep Medicine	207RS0012X	Primary

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