Active NPI
The Labster
- VA Clinic/Center
- Glendale, CA
National Provider Identifier
1124973516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- VA Clinic/Center
- Legal business name
- THE LABSTER
- Practice address
- 1015 N Kenilworth Ave Unit B
Glendale, CA 91202-2822 - Phone
- (818) 482-6378
- NPI assigned
- Mar 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregoir Banna
- Title
- Director
- Phone
- (818) 482-6378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Primary |
Addresses
Primary practice location
1015 N Kenilworth Ave Unit B
Glendale, CA 91202-2822
Mailing address
1015 N Kenilworth Ave Unit B
Glendale, CA 91202-2822
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1124973516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 N KENILWORTH AVE UNIT B",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N KENILWORTH AVE UNIT B",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022822",
"telephone_number": "818-482-6378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LABSTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "BANNA",
"authorized_official_first_name": "GREGOIR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "818-482-6378"
},
"taxonomies": [
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.