Organization Active NPI

Edit Bio Inc

  • Clinical Medical Laboratory
  • Apple Valley, CA
National Provider Identifier
1124994108
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EDIT BIO INC
Practice address
19195 Outer Hwy 18 Ste 106
Apple Valley, CA 92307-2562
Phone
(747) 677-8743
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edita Baghdasaryan
Title
Owner
Phone
(747) 677-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

19195 Outer Hwy 18 Ste 106
Apple Valley, CA 92307-2562

Mailing address

19195 Outer Hwy 18 Ste 106
Apple Valley, CA 92307-2562
Phone (747) 677-8743

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2269623Edit Bio Inc19195 Outer Hwy 18 S Unit 106, Apple Valley, CA 92307RegistrationJul 31, 2026

National Provider Directory

National Provider Directory

Locations

19195 Outer Highway 18
Apple Valley, CA 92307
Phone (888) 557-1305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1124994108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19195 OUTER HWY 18 STE 106",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072562",
            "telephone_number": "747-677-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19195 OUTER HWY 18 STE 106",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072562",
            "telephone_number": "747-677-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIT BIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "EDITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-677-8743"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.