Active NPI
Buraq Holding LLC
- Clinical Medical Laboratory
- Indianapolis, IN
National Provider Identifier
1184513772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BURAQ HOLDING LLC
- Practice address
- 2506 E Washington St Ste 202
Indianapolis, IN 46201-4126 - Phone
- (619) 394-2059
- NPI assigned
- Jun 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rabab Boulasbaa
- Title
- Manager
- Phone
- (619) 394-2059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2506 E Washington St Ste 202
Indianapolis, IN 46201-4126
Mailing address
1849 Sugar Grove Ave
Indianapolis, IN 46202-1132
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2336094 | Buraq Holding LLC | Certificate of waiver | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1184513772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 SUGAR GROVE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 E WASHINGTON ST STE 202",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462014126",
"telephone_number": "619-394-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURAQ HOLDING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-30",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "BOULASBAA",
"authorized_official_first_name": "RABAB",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "619-394-2059"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.