Miragenex LLC

NPI #1205524014 in Syosset, New York

Provider Information

NPI Number
1205524014
Entity Type
Organization
Organization Name
Miragenex LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 28, 2023
Last Updated
Apr 28, 2023

Practice Location

Address
125 MICHAEL DR STE 106
ZIP Code
11791-5311
Phone
(347) 669-1693

Authorized Official

Name
MOHAMAD A KHODAIR, MD
Title
OWNER
Phone
(347) 669-1693

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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