Out Pt Lab LLC
NPI #1093415812 in Glendale, California
Provider Information
- NPI Number
- 1093415812
- Entity Type
- Organization
- Organization Name
- Out Pt Lab LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 9, 2023
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 600 W BROADWAY
- City
- Glendale
- State
- California
- ZIP Code
- 91204-1022
- Phone
- (626) 241-2749
Authorized Official
- Name
- EMMANUEL BANJARJIAN, CLS, MLS (ASCP)
- Title
- DIRECTOR
- Phone
- (626) 241-2749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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