The Longevity Lab LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

THE LONGEVITY LAB LLC

Practice address

100 S Keene St
Columbia, MO 65201-6603

Phone

(573) 968-6822

NPI assigned

Apr 25, 2025

Last updated

Apr 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammad Jarbou, MDNPI 1396830915

Title

Co-Owner

Phone

(573) 639-0292

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Jarbou, MD

  • Pulmonary Disease Physician
  • Columbia, MO
  • NPI 1396830915
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1174311765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016603",
            "telephone_number": "573-968-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016603",
            "telephone_number": "573-968-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LONGEVITY LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "JARBOU",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "573-639-0292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Sleep Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.