LIFESTREAM DIAGNOSTICS INC. NPI 1861234080

NPI Information

  • NPI: 1861234080
  • Provider Name: LIFESTREAM DIAGNOSTICS INC.
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 201 E OGDEN AVE STE 18-7
    HINSDALE, IL
    ZIP 60521
  • Phone: (630) 413-4897

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NPI Details

LIFESTREAM DIAGNOSTICS INC. is a radiology clinic center in Hinsdale, IL. LIFESTREAM DIAGNOSTICS INC. NPI is 1861234080. The provider is registered as an organization entity type.

The provider's business location address is:

201 E OGDEN AVE STE 18-7
HINSDALE, IL
ZIP 60521-671
Phone: (630) 413-4897
Fax: (630) 937-9700

The provider's authorized official is Fahad Qasim .
The authorized official title is President and has the following contact phone number (630) 202-6160.

The enumeration date for this NPI number is 6/10/2024 and was last updated on 1/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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