Organization Active NPI

Lifesync Health Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1821865726
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LIFESYNC HEALTH INC
Practice address
5901 N Cicero Ave Ste 608
Chicago, IL 60646-5721
Phone
(714) 768-8645
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Abdul Latheef
Title
Managing Director
Phone
(714) 768-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5901 N Cicero Ave Ste 608
Chicago, IL 60646-5721

Mailing address

5901 N Cicero Ave Ste 608
Chicago, IL 60646-5721
Phone (714) 768-8645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1821865726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465721",
            "telephone_number": "714-768-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465721",
            "telephone_number": "714-768-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESYNC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "LATHEEF",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "714-768-8645"
    },
    "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 Dec 11, 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.