LONGEVITY LABORATORY, LLC
NPI 1609123330
Clinical Medical Laboratory in Kirkland, WA

Active since August 13, 2012
9757 NE JUANITA DR, 202, KIRKLAND, WA 98034(425) 605-8715(425) 654-0211 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Longevity Laboratory, Llc NPPES

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

LONGEVITY LABORATORY, LLC (NPI 1609123330) is a healthcare organization registered as a clinical medical laboratory in Kirkland, Washington and active in the NPI registry since August 2012. The organization lists Jerry Nelson Mixon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1609123330
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLONGEVITY LABORATORY, LLC
Location Address9757 NE JUANITA DR, 202Kirkland, WA 98034-4299
Mailing Address9757 Ne Juanita Dr, 202Kirkland, WA 98034-4299 · (425) 605-8715 · Fax (425) 654-0211
Fax(425) 654-0211
Organization SubpartNo
Authorized OfficialJerry Nelson MixonMedical Director · (425) 605-8715
Enumeration DateAugust 13, 2012
NPI 1609123330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

9757 NE JUANITA DR, Kirkland, WA 98034

Other Providers at the Same Location NPPES 9

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

Specialist
9757 NE JUANITA DR, SUITE 200
KIRKLAND, WA 98034
Specialist
9757 NE JUANITA DR, SUITE 200
KIRKLAND, WA 98034
Family Medicine (Adult Medicine)
9757 NE JUANITA DR, 202
KIRKLAND, WA 98034
Community/Behavioral Health
9757 NE JUANITA DR, SUITE 300
KIRKLAND, WA 98034
Counselor (Mental Health)
9757 NE JUANITA DR
KIRKLAND, WA 98034
Counselor (Mental Health)
9757 NE JUANITA DR
KIRKLAND, WA 98034
Counselor (Mental Health)
9757 NE JUANITA DR, SUITE 102
KIRKLAND, WA 98034
Social Worker (Clinical)
9757 NE JUANITA DR, STE 214
KIRKLAND, WA 98034

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 Longevity Laboratory, LLC's NPI number?

The NPI number for Longevity Laboratory, LLC is 1609123330. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Longevity Laboratory, LLC located?

Longevity Laboratory, LLC is located at 9757 NE Juanita Dr 202, Kirkland, WA 98034. The listed phone number is (425) 605-8715.

What is Longevity Laboratory, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Longevity Laboratory, LLC was last updated on August 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.