Organization Active NPI

Molecular Diagnostic Laboratory LLC

  • Clinical Medical Laboratory
  • Wallingford, CT
National Provider Identifier
1730292822
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CL0632 Issued in CT
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

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004221016MedicaidCT
1730292822MedicaidCT

Other names 1

  • Sinai Labs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000437 CT Part B Supplier - Independent Clinical Laboratory 6305995614 Practice locations: Naugatuck, CT

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
07D0993149Molecular Diagnostic Laboratory LLC950 Yale Avenue, Unit 39, Wallingford, CT 06492ComplianceFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.