Out Pt Lab LLC
Out Pt Lab LLC is a healthcare organization registered as Clinical Medical Laboratory in Glendale, CA, holding Type 2 (organization) NPI 1093415812 since 2023. The authorized official on file is Emmanuel Banjarjian, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093415812 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Out Pt Lab LLC |
| Practice address | 600 W BROADWAY, Glendale, CA, 91204 |
| Phone | 6262412749 |
| Enumeration date | 2023-03-09 |
| Last updated in NPPES | 2024-08-07 |
Authorized official
| Name | Emmanuel Banjarjian |
|---|---|
| Title | Director |
| Phone | 6262412749 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: Out Pt Lab LLC NPI: 1093415812 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 600 W BROADWAY, Glendale, CA, 91204
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| 1174986863 | Emily Gawne | Individual | Behavior Analyst | Glendale, CA |
Verify this record
Cross-check NPI 1093415812 against the authoritative CMS record: view Out Pt Lab LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Out Pt Lab LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-07.