NPI 1730292822

Molecular Diagnostic Laboratory LLC

Organisation Clinical Medical Laboratory Wallingford, CT

Practice location

Address: 950 Yale Ave STE 39, Wallingford, CT 06492-1884
Phone: (310) 525-5520
Fax: (310) 873-6780

Authorised official

Name: Ben Lev
Title: Director
Phone: (310) 873-6380

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence CL0632 (CT)

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Registry record

NPI: 1730292822
Entity type: Organization
NPI issued: 16 Aug 2006
Record last updated: 2 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.