Active NPI
Molecular Diagnostic Laboratory LLC
- Clinical Medical Laboratory
- Wallingford, CT
National Provider Identifier
1730292822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CL0632
- Legal business name
- MOLECULAR DIAGNOSTIC LABORATORY LLC
- Doing business as
- Sinai Labs
- Practice address
- 950 Yale Ave Ste 39
Wallingford, CT 06492-1884 - Phone
- (310) 525-5520
- Fax
- (310) 873-6780
- NPI assigned
- Aug 16, 2006
- 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
- Ben Lev
- Title
- Director
- Phone
- (310) 873-6380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CL0632 | CT | Primary |
Addresses
Primary practice location
950 Yale Ave Ste 39
Wallingford, CT 06492-1884
Mailing address
950 Yale Ave Ste 39
Wallingford, CT 06492-1884
Phone (310) 873-6380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004221016 | Medicaid | CT | |
| 1730292822 | Medicaid | CT |
Other names 1
- Sinai Labs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090515000437 | CT | Part B Supplier - Independent Clinical Laboratory | 6305995614 | Practice locations: Naugatuck, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0993149 | Molecular Diagnostic Laboratory LLC | Compliance | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
950 Yale Ave
Ste 39
Wallingford, CT 06492
Phone (203) 284-9646
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Laboratory Director (Non-physician)
- Naugatuck, CT
- NPI 1629706908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1730292822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 YALE AVE STE 39",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921884",
"telephone_number": "310-873-6380",
"fax_number": "310-873-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 YALE AVE STE 39",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921884",
"telephone_number": "310-525-5520",
"fax_number": "310-873-6780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLECULAR DIAGNOSTIC LABORATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2025-09-02",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "LEV",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-873-6380"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CT",
"license": "CL0632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004221016",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730292822",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sinai Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.