OrganizationActive
The Longevity Lab LLC
NPI 1174311765 · Sleep Medicine (Internal Medicine) Physician · Columbia, MO
Provider details
- NPI number
- 1174311765
- Entity type
- Organization
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammad Jarbou, Co-Owner(573) 639-0292
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Practice location
100 S Keene St
Columbia, MO 65201-6603
Phone: (573) 968-6822
Approximate (ZIP-level) locationGet directions
Mailing address
100 S Keene St
Columbia, MO 65201-6603
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.