Organization Active NPI

Buraq Holding LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1184513772
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 28, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2336094Buraq Holding LLC2506 E Washington St Ste 202, Indianapolis, IN 46201Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.