Organization Active NPI

Prism Diagnostics LLC

  • Clinical Medical Laboratory
  • Palatine, IL
National Provider Identifier
1437039054
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRISM DIAGNOSTICS LLC
Practice address
119 E Palatine Rd Ste 107
Palatine, IL 60067-5131
Phone
(888) 446-4118
Fax
(888) 910-0640
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mr. Sai Goutham Reddy Katta
Title
Owner
Phone
(888) 446-4118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

119 E Palatine Rd Ste 107
Palatine, IL 60067-5131

Mailing address

119 E Palatine Rd Ste 107
Palatine, IL 60067-5131
Phone (888) 446-4118

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
14D2329478Prism Diagnostics LLC119 E Palatine Rd - Ste 107, Palatine, IL 60067Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Prism Diagnostics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

119 E Palatine Rd
Ste 107
Palatine, IL 60067
Phone (888) 446-4118

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1437039054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E PALATINE RD STE 107",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675131",
            "telephone_number": "888-446-4118",
            "fax_number": "888-910-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E PALATINE RD STE 107",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675131",
            "telephone_number": "888-446-4118",
            "fax_number": "888-910-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "KATTA",
        "authorized_official_first_name": "SAI GOUTHAM",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-446-4118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.