Organization
LIVE LONGER LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MINA (PRESIDENT)
(917) 593-4689
Entity
Organization
Contact information
Practice address
1040 N QUINCY ST SUITE 500, ARLINGTON, VA 22201
(703) 828-5227
Mailing address
1040 N QUINCY ST SUITE 500, ARLINGTON, VA 22201
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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