Out PT Lab LLC
NPI 1093415812 · Clinical Medical Laboratory · Glendale, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Out PT Lab LLC is a Clinical Medical Laboratory organization in Glendale, CA (NPI 1093415812).
Provider details
- NPI number
- 1093415812
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Emmanuel Banjarjian, Director(626) 241-2749
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Frequently asked questions
- What is Out PT Lab LLC's NPI number?
- Out PT Lab LLC's National Provider Identifier (NPI) is 1093415812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Out PT Lab LLC?
- Out PT Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Out PT Lab LLC located?
- Out PT Lab LLC's practice location on file with NPPES is 600 W Broadway, Glendale, CA 91204-1022.
- What is Out PT Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Out PT Lab LLC is (626) 241-2749.
- Does Out PT Lab LLC accept Medicare?
- Out PT Lab LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Out PT Lab LLC?
- The authorized official listed on Out PT Lab LLC's NPPES record is Emmanuel Banjarjian, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Out PT Lab LLC's NPI active?
- Yes — Out PT Lab LLC's NPI (1093415812) is active in the NPPES registry as of the last update on 2024-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.