Healthcare Provider Details

I. General information

NPI: 1588346977
Provider Name (Legal Business Name): PSC DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 BUTTERFIELD RD STE 108
DOWNERS GROVE IL
60515-5620
US

IV. Provider business mailing address

1323 BUTTERFIELD RD STE 108
DOWNERS GROVE IL
60515-5620
US

V. Phone/Fax

Practice location:
  • Phone: 630-872-5859
  • Fax:
Mailing address:
  • Phone: 630-872-5859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED SAKARIA
Title or Position: MANAGING PARTNER
Credential:
Phone: 630-872-5859