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NPI Code Detail

MEDICARE: NINA LAB LLC

MEDICARE: NINA LAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1407792807
Entity Type Code : Organization
Provider Name (Legal Business Name) : NINA LAB LLC
Provider Business Mailing Address
First Line : 2150 S ILIOS PL # AZ
Second Line :
City : TUCSON
State : AZ
Zip : 85713-4193
Country : US
Telephone Number : 214-447-7638
Fax Number : 254-765-2639
Provider Business Practice Location Address
First Line : 13601 PRESTON RD STE 425W
Second Line :
City : DALLAS
State : TX
Zip : 75240-4985
Country : US
Telephone Number : 214-447-7638
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MUHAMMAD ASIF
Credential :
Telephone Number : 214-447-7638
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “NINA LAB LLC ” Practice Location

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