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Organization
LIFESTREAM DIAGNOSTICS INC.
Active
Organization
LIFESTREAM DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAHAD QASIM (PRESIDENT)
(630) 202-6160
Entity
Organization
Contact information
Practice address
201 E OGDEN AVE STE 18-7, HINSDALE, IL 60521-3671
(630) 413-4897
(630) 937-9700
Mailing address
3573 FLETCHER LN, AURORA, IL 60506-7163
(630) 202-6160
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
10/08/2025
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