Sinai Laboratory Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SINAI LABORATORY CORP

Practice address

11111 S Harlem Ave
Worth, IL 60482-1801

Phone

(708) 671-8389

NPI assigned

Jan 27, 2022

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gayle Kates, MD

Title

Director

Phone

(312) 859-8477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1679226963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 S HARLEM AVE STE A",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821801",
            "telephone_number": "708-671-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821801",
            "telephone_number": "708-671-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI LABORATORY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "KATES",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-859-8477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Worth, IL
• Providers in Worth, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.