THE LONGEVITY LAB LLC – Sleep Medicine (Internal Medicine) Physician, NPI 1174311765

THE LONGEVITY LAB LLC is a healthcare provider. based in Columbia, Missouri. specializing in Sleep Medicine (Internal Medicine) Physician. The NPI Number for THE LONGEVITY LAB LLC is 1174311765

Main info

Organization
Name
THE LONGEVITY LAB LLC
NPI
1174311765
Phone
(573) 968-6822
Address
100 S KEENE ST
Authorized Official
DR. MOHAMMAD JARBOU CO-OWNER MD
Enumeration Date
25 April 2025
Last Update Date
25 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience22
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for THE LONGEVITY LAB LLC

  • 100 S KEENE ST

    COLUMBIA, MO 652016603

    Phone: (573) 968-6822

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65201)

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Frequently asked questions

Does THE LONGEVITY LAB LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — THE LONGEVITY LAB LLC uses 1174311765.
Can I rely on THE LONGEVITY LAB LLC being an active provider?
As of the registry snapshot, THE LONGEVITY LAB LLC is marked active.
What healthcare role does THE LONGEVITY LAB LLC hold?
Scheduling teams often label THE LONGEVITY LAB LLC under Sleep Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for THE LONGEVITY LAB LLC?
THE LONGEVITY LAB LLC's geographic hint is Columbia, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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