Organization
SH DIAGNOSTICS INC
Active
Other names
Synergistic Health Dx
Organization subpart
No
Provider details
NPI number
Authorized official
SAFIUDDIN SULTANI (PRESIDENT)
(312) 722-6925
Entity
Organization
Contact information
Practice address
3525 W PETERSON AVE STE 117, CHICAGO, IL 60659-3313
(312) 722-6925
Mailing address
3525 W PETERSON AVE STE 117, CHICAGO, IL 60659-3313
(312) 722-6925
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2263216
CLIA
IL
Enumeration date
07/21/2022
Last updated
12/15/2023
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