Organization Active NPI

Elite Medical Laboratory

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1760399653
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELITE MEDICAL LABORATORY
Practice address
700 Childs Way
Los Angeles, CA 90089-0026
Phone
(646) 980-3580
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Chase Evans
Title
Owner
Phone
(646) 980-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

700 Childs Way
Los Angeles, CA 90089-0026

Mailing address

700 Childs Way
Los Angeles, CA 90089-0026
Phone (646) 980-3580

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1760399653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDS WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890026",
            "telephone_number": "646-980-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDS WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890026",
            "telephone_number": "646-980-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-980-3580"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.