Provider Demographics
NPI:1679226963
Name:SINAI LABORATORY CORP
Entity Type:Organization
Organization Name:SINAI LABORATORY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-859-8477
Mailing Address - Street 1:11111 S HARLEM AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60482-1801
Mailing Address - Country:US
Mailing Address - Phone:708-671-8389
Mailing Address - Fax:
Practice Address - Street 1:11111 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:WORTH
Practice Address - State:IL
Practice Address - Zip Code:60482-1801
Practice Address - Country:US
Practice Address - Phone:708-671-8389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory