Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Out PT Lab LLC

Organization Clinical Medical Laboratory · NPI 1093415812

Out PT Lab LLC is a Clinical Medical Laboratory in Glendale, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 W Broadway
Glendale, CA 91204-1022
Phone: (626) 241-2749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1093415812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuel Banjarjian — Director · (626) 241-2749
NPI enumeratedMarch 9, 2023
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address606 S Hill St Ste 210, Los Angeles, CA 90014-1756

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