Longevity Lab Solutions LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LONGEVITY LAB SOLUTIONS LLC

Practice address

6605 Cypresswood Dr Ste 125
Spring, TX 77379-7794

Phone

(646) 689-1230

NPI assigned

Sep 30, 2024

Last updated

Dec 19, 2024By 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

Mr. Abdul Ghani Rafeh

Title

Owner

Phone

(646) 689-1230

Specialties & licenses 1

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.

• Aloma Geer, PH.D.

  • Nutritionist
  • Spring, TX
  • NPI 1972056216
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1851119705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 CYPRESSWOOD DR STE 125",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797794",
            "telephone_number": "646-689-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 CYPRESSWOOD DR STE 125",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797794",
            "telephone_number": "646-689-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY LAB SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "RAFEH",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "GHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-689-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Community Health Center, Inc. (Lone Star Family Health Center)
• Lone Star Healthcare Providers
• Lone Star Neurology PA
• Elicia Raeona Marie Long, PA-C
• Juliana Long, LPC
• Longevity Nutricare LLC
• Elena Marie Longtin
• Priscilla Lopez Amaro, BCBA
• Ivia Lopez Rivera, SLPA
• Cynthia Lopez-Garza

• Clinical Medical Laboratory in Spring, TX
• Providers in Spring, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.