# LIFESTREAM DIAGNOSTICS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861234080
- **Authorized official:** MR. FAHAD QASIM (PRESIDENT)
- **Authorized official phone:** (630) 202-6160

## Contact information

- **Practice address:** 201 E OGDEN AVE STE 18-7, HINSDALE, IL 60521-3671
- **Practice address phone:** (630) 413-4897
- **Practice address fax:** (630) 937-9700
- **Mailing address:** 3573 FLETCHER LN, AURORA, IL 60506-7163
- **Mailing address phone:** (630) 202-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 10/08/2025