Organization
BURAQ HOLDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RABAB BOULASBAA (MANAGER)
(619) 394-2059
Entity
Organization
Contact information
Practice address
2506 E WASHINGTON ST STE 202, INDIANAPOLIS, IN 46201-4126
(619) 394-2059
Mailing address
1849 SUGAR GROVE AVE, INDIANAPOLIS, IN 46202-1132
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
04/28/2026
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