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General NPI Number Information
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NPI Number | 1679226963
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Entity Type | Organization
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Legal Business Name | SINAI LABORATORY CORP
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 11111 S HARLEM AVE
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City | WORTH
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State | IL
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Zip | 60482-1801
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Country | US
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Telephone | 708-671-8389
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Fax |
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Provider Business Mailing Address
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Address Line | 11111 S HARLEM AVE STE A
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City | WORTH
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State | IL
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Zip | 60482-1801
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Country | US
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Telephone | 708-671-8389
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GAYLE KATES
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Credential | MD
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Telephone | 312-859-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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