Organization Active NPI

Lifestream Diagnostics Inc.

  • Diagnostic Ultrasound Physician
  • Hinsdale, IL
National Provider Identifier
1861234080
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
LIFESTREAM DIAGNOSTICS INC.
Practice address
201 E Ogden Ave Ste 18-7
Hinsdale, IL 60521-3671
Phone
(630) 413-4897
Fax
(630) 937-9700
NPI assigned
Jun 10, 2024
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Mr. Fahad QasimNPI 1235970385
Title
President
Phone
(630) 202-6160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

201 E Ogden Ave Ste 18-7
Hinsdale, IL 60521-3671

Mailing address

3573 Fletcher LN
Aurora, IL 60506-7163
Phone (630) 202-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017000032 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5799217618 Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

201 E Ogden Ave
Ste 18-7
Hinsdale, IL 60521
Phone (630) 202-6160

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1861234080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 FLETCHER LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605067163",
            "telephone_number": "630-202-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 18-7",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213671",
            "telephone_number": "630-413-4897",
            "fax_number": "630-937-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "QASIM",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-202-6160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.