Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Laboratory, LLC

Organization Clinical Medical Laboratory · NPI 1609123330

Longevity Laboratory, LLC is a Clinical Medical Laboratory in Kirkland, Washington. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9757 NE Juanita Dr 202
Kirkland, WA 98034-4299
Phone: (425) 605-8715
Fax: (425) 654-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1609123330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Mixon — Medical Director · (425) 605-8715
NPI enumeratedAugust 13, 2012
Last updated in NPPESAugust 13, 2012
Mailing address9757 Ne Juanita Dr, 202, Kirkland, WA 98034-4299

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