Prescience Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRESCIENCE DIAGNOSTICS LLC

Practice address

2545 W Peterson Ave Ste 107
Chicago, IL 60659-4030

Phone

(773) 453-2923

Fax

(872) 710-0996

NPI assigned

Dec 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fashi A Sharif

Title

Owner

Phone

(773) 453-2923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1053188599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W PETERSON AVE STE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594030",
            "telephone_number": "773-453-2923",
            "fax_number": "872-710-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W PETERSON AVE STE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594030",
            "telephone_number": "773-453-2923",
            "fax_number": "872-710-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCIENCE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "FASHI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-453-2923"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Prentis, DPT
• Michael Preodor, MD
• Peter Demetri Preonas, PHD
• Prep Partners Consulting & Training, Inc
• Prep Performance Center, LLC
• Janice Prescod, DO
• Prescott Counseling
• Casey Prescott, M.S. CCC-SLP
• Matthew Stephen Prescott, D.D.S.
• Presence Ambulatory Services

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.