Organization Active NPI

Scientific Diagnostic Services Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1679384267
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SCIENTIFIC DIAGNOSTIC SERVICES INC
Practice address
2639 W Devon Ave Ste LL
Chicago, IL 60659-1812
Phone
(773) 341-8298
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Fazal Ahmed Ahmedi
Title
President
Phone
(773) 341-8298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2639 W Devon Ave Ste LL
Chicago, IL 60659-1812

Mailing address

2639 W Devon Ave Ste LL
Chicago, IL 60659-1812
Phone (773) 341-8298

National Provider Directory

National Provider Directory

Locations

2639 W Devon Ave
Ste Ll
Chicago, IL 60659
Phone (773) 341-8298

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1679384267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 W DEVON AVE STE LL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591812",
            "telephone_number": "773-341-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 W DEVON AVE STE LL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591812",
            "telephone_number": "773-341-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIENTIFIC DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "AHMEDI",
        "authorized_official_first_name": "FAZAL",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-341-8298"
    },
    "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 Jan 14, 2025; 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.