OUT PT LAB LLC
NPI 1093415812
Clinical Medical Laboratory in Glendale, CA

Active since March 09, 2023CLIA 05D2279189 · Certificate of Compliance
600 W BROADWAY, GLENDALE, CA 91204(626) 241-2749 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Mar 9, 2023 (2 updates tracked since 2023).

About Out Pt Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUT PT LAB LLC (NPI 1093415812) is a healthcare organization registered as a clinical medical laboratory in Glendale, California and active in the NPI registry since March 2023. The organization holds a CLIA Certificate of Compliance certificate valid through May 6, 2028 and lists Emmanuel Banjarjian, Director, as its authorized official.

NPPES Registry Identity

NPI1093415812
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameOUT PT LAB LLC
Location Address600 W BROADWAYGlendale, CA 91204-1022
Mailing Address606 S Hill St Ste 210Los Angeles, CA 90014-1756 · (626) 241-2749
Organization SubpartNo
Authorized OfficialEmmanuel BanjarjianDirector · (626) 241-2749
Enumeration DateMarch 9, 2023
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1093415812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

600 W BROADWAY, Glendale, CA 91204

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2279189

Out Pt Lab, LLC · Glendale, CA
Active · expires May 6, 2028
CLIA Number05D2279189
Laboratory TypeIndependent
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDavid A. Chun
Laboratory Phone(626) 241-2749
Laboratory LocationOut Pt Lab, LLC600 W Broadway Ste 100, Glendale, CA 91204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
600 W BROADWAY, SUITE 315
GLENDALE, CA 91204
Behavior Analyst
600 W BROADWAY, SUITE #300
GLENDALE, CA 91204
Acupuncturist
600 W BROADWAY, 135
GLENDALE, CA 91204
Chiropractor
600 W BROADWAY, SUITE 235
GLENDALE, CA 91204
Chiropractor
600 W BROADWAY, SUITE 235
GLENDALE, CA 91204
Behavior Analyst
600 W BROADWAY
GLENDALE, CA 91204
Radiologic Technologist (Vascular Sonography)
600 W BROADWAY, # 260
GLENDALE, CA 91204
Acupuncturist
600 W BROADWAY, SUITE 135
GLENDALE, CA 91204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Out Pt Lab LLC's NPI number?

The NPI number for Out Pt Lab LLC is 1093415812. It was assigned to this organization in the NPPES registry on March 9, 2023.

Where is Out Pt Lab LLC located?

Out Pt Lab LLC is located at 600 W Broadway, Glendale, CA 91204. The listed phone number is (626) 241-2749.

What is Out Pt Lab LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Out Pt Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2279189) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Out Pt Lab LLC was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.