Organization
MOLECULAR DIAGNOSTIC LABORATORY LLC
Active
Other names
Sinai Labs
Organization subpart
No
Provider details
NPI number
Authorized official
BEN LEV (DIRECTOR)
(310) 873-6380
Entity
Organization
Contact information
Practice address
950 YALE AVE STE 39, WALLINGFORD, CT 06492-1884
(310) 525-5520
(310) 873-6780
Mailing address
950 YALE AVE STE 39, WALLINGFORD, CT 06492-1884
(310) 873-6380
(310) 873-6780
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL0632
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004221016
—
CT
05
—
1730292822
—
CT
Enumeration date
08/16/2006
Last updated
09/02/2025
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