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

The Longevity Lab LLC

Organization Pulmonary Disease Physician · NPI 1174311765

The Longevity Lab LLC is a Pulmonary Disease Physician in Columbia, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

100 S Keene St
Columbia, MO 65201-6603
Phone: (573) 968-6822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1174311765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Jarbou — Co-Owner · (573) 639-0292
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address100 S Keene St, Columbia, MO 65201-6603

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