THE LONGEVITY LAB LLC
NPI 1174311765
Internal Medicine - Sleep Medicine in Columbia, MO

Active since April 25, 2025
100 S KEENE ST, COLUMBIA, MO 65201(573) 968-6822 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Longevity Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LONGEVITY LAB LLC (NPI 1174311765) is a healthcare organization registered as a sleep medicine in Columbia, Missouri and active in the NPI registry since April 2025. The organization lists Mohammad Jarbou, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1174311765
Entity TypeOrganization
Primary Taxonomy207RS0012X
Legal Business NameTHE LONGEVITY LAB LLC
Location Address100 S KEENE STColumbia, MO 65201-6603
Mailing Address100 S Keene StColumbia, MO 65201-6603 · (573) 968-6822
Organization SubpartNo
Authorized OfficialMohammad JarbouCo-owner · (573) 639-0292
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1174311765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
100 S KEENE ST, Columbia, MO 65201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
100 S KEENE ST
COLUMBIA, MO 65201
Dentist (General Practice)
100 S KEENE ST
COLUMBIA, MO 65201
Internal Medicine (Pulmonary Disease)
100 S KEENE ST
COLUMBIA, MO 65201
Specialist
100 S KEENE ST
COLUMBIA, MO 65201
Clinic/Center
100 S KEENE ST
COLUMBIA, MO 65201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Longevity Lab LLC's NPI number?

The NPI number for The Longevity Lab LLC is 1174311765. It was assigned to this organization in the NPPES registry on April 25, 2025.

Where is The Longevity Lab LLC located?

The Longevity Lab LLC is located at 100 S Keene St, Columbia, MO 65201. The listed phone number is (573) 968-6822.

What is The Longevity Lab LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

When was this NPI record last updated?

The NPPES record for The Longevity Lab LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.