DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THE LONGEVITY LAB LLC

Active Organization

THE LONGEVITY LAB LLC is a Sports Medicine (IM) organization located in COLUMBIA, Missouri. NPI 1174311765 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · COLUMBIA, MO

Registration Details

NPI Number
1174311765
Provider Type
Organization
NPI Issued
Apr 25, 2025 (1.3438320045324 yrs)
Last Updated
Apr 25, 2025

Practice Information

Address
100 S KEENE ST
COLUMBIA, MO, 652016603
Browse MO providers · Browse ZIP 65201
Phone
5739686822
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Organizations in COLUMBIA, MO

Name NPI
ADVANCED SLEEP LABS, L.L.C. 1306020268
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.