Organization · Type 2 NPI

Executive Diagnostics LLC

Clinical Medical Laboratory · Jackson, MS

NPI number 1134699945 Active

Practice location

5455 Executive Pl Ste B
Jackson, MS 39206-4104

Call (219) 395-0667 Map

Mailing address

10996 Four Seasons Pl Ste 100A
Crown Point, IN 46307-8685

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1134699945

Executive Diagnostics LLC's National Provider Identifier is 1134699945, issued on Dec 5, 2018. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 5, 2018.