OrganizationActive
Longevity Laboratory, LLC
NPI 1609123330 · Clinical Medical Laboratory · Kirkland, WA
Longevity Laboratory, LLC is a Clinical Medical Laboratory organization in Kirkland, WA (NPI 1609123330).
Provider details
- NPI number
- 1609123330
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jerry Mixon, Medical Director(425) 605-8715
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9757 Ne Juanita Dr
202
Kirkland, WA 98034-4299
Phone: (425) 605-8715
Fax: (425) 654-0211
Street-level locationGet directions
Mailing address
9757 Ne Juanita Dr
Kirkland, WA 98034-4299
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2012-08-13
Frequently asked questions
- What is Longevity Laboratory, LLC's NPI number?
- Longevity Laboratory, LLC's National Provider Identifier (NPI) is 1609123330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Laboratory, LLC?
- Longevity Laboratory, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Longevity Laboratory, LLC located?
- Longevity Laboratory, LLC's practice location on file with NPPES is 9757 Ne Juanita Dr, Kirkland, WA 98034-4299.
- What is Longevity Laboratory, LLC's phone number?
- The practice phone number listed in the NPPES registry for Longevity Laboratory, LLC is (425) 605-8715.
- Who is the authorized official for Longevity Laboratory, LLC?
- The authorized official listed on Longevity Laboratory, LLC's NPPES record is Jerry Mixon, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Laboratory, LLC's NPI active?
- Yes — Longevity Laboratory, LLC's NPI (1609123330) is active in the NPPES registry as of the last update on 2012-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.