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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXECUTIVE DIAGNOSTICS LLC

Active Organization

EXECUTIVE DIAGNOSTICS LLC is a Clinical Medical Laboratory organization located in JACKSON, Mississippi. NPI 1134699945 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · JACKSON, MS

Registration Details

NPI Number
1134699945
Provider Type
Organization
NPI Issued
Dec 5, 2018 (7.7279067189441 yrs)
Last Updated
Dec 5, 2018

Practice Information

Address
5455 EXECUTIVE PL STE B
JACKSON, MS, 392064104
Browse MS providers · Browse ZIP 39206
Phone
2193950667
Primary Specialty
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.