Active NPI
SH Diagnostics Inc
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1124753249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SH DIAGNOSTICS INC
- Practice address
- 3525 W Peterson Ave Ste 117
Chicago, IL 60659-3313 - Phone
- (312) 722-6925
- NPI assigned
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Safiuddin Sultani
- Title
- President
- Phone
- (312) 722-6925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3525 W Peterson Ave Ste 117
Chicago, IL 60659-3313
Mailing address
3525 W Peterson Ave Ste 117
Chicago, IL 60659-3313
Phone (312) 722-6925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D2263216 | Other | IL | CLIA |
Other names 1
- Synergistic Health Dx
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Synergistichealthdx@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
3525 W Peterson Ave
Ste 117
Chicago, IL 60659
Phone (312) 722-6925
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Chicago, IL
- NPI 1437882321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1124753249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 W PETERSON AVE STE 117",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593313",
"telephone_number": "312-722-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 W PETERSON AVE STE 117",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593313",
"telephone_number": "312-722-6925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SH DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "SULTANI",
"authorized_official_first_name": "SAFIUDDIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-722-6925"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "14D2263216",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Synergistichealthdx@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Text",
"address_1": "3525 W Peterson Ave Ste 117",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606593313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Synergistic Health Dx",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Synergistic Health Dx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.