Organization Active NPI

SH Diagnostics Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1124753249
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Dec 15, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14D2263216OtherILCLIA

Other names 1

  • Synergistic Health Dx Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Synergistichealthdx@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.