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

Miragenex LLC

Organization Clinical Medical Laboratory · NPI 1205524014

Miragenex LLC is a Clinical Medical Laboratory in Syosset, New York. Registered with an NPI since 2023.

In the registry since
2023
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

125 Michael Dr Ste 106
Syosset, NY 11791-5311
Phone: (347) 669-1693
Fax: (516) 753-9964
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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 number1205524014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamad Khodair — Owner · (347) 669-1693
NPI enumeratedApril 28, 2023
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address24 Little Falls Rd Ste E, Fairfield, NJ 07004-1913

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