Organization Active NPI

Primecare Diagnostics LLC

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1275324741
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIMECARE DIAGNOSTICS LLC
Practice address
5765 N Lincoln Ave Ste 22
Chicago, IL 60659-4730
Phone
(847) 686-3043
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Mohammad Shiraz Akhtar Syed
Title
Owner
Phone
(847) 686-3043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5765 N Lincoln Ave Ste 22
Chicago, IL 60659-4730

Mailing address

5765 N Lincoln Ave Ste 22
Chicago, IL 60659-4730

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2321817Primecare Diagnostics LLC5765 N Lincoln Ave Ste 22, Chicago, IL 60659Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

5765 N Lincoln Ave
Ste 22
Chicago, IL 60659
Phone (847) 686-3043

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1275324741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5765 N LINCOLN AVE STE 22",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 N LINCOLN AVE STE 22",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594730",
            "telephone_number": "847-686-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOHAMMAD SHIRAZ",
        "authorized_official_middle_name": "AKHTAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-686-3043"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.