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Executive Diagnostics Llc
Clinical Medical Laboratory in Jackson, Mississippi
NPI 1134699945

Executive Diagnostics Llc is a Clinical Medical Laboratory based in Crown Point, MS. Executive Diagnostics Llc practices in Jackson, MS. The NPI Number for Executive Diagnostics Llc is 1134699945 and holds a License No. (Mississippi).

The current practice location address for Executive Diagnostics Llc is 5455 Executive Pl Ste B, Jackson, MS and can be reached out via phone at 219-395-0667. You can also correspond with Executive Diagnostics Llc through the mailing address at 10996 FOUR SEASONS PL STE 100A, CROWN POINT, IN - 46307-8685 (mailing address contact number: ).

Location: 5455 Executive Pl Ste B, Jackson, MS, 46307-8685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134699945
Provider Name
Executive Diagnostics Llc
Credential
Provider Entity Type
Organization
Address
5455 Executive Pl Ste B, Jackson, MS, 46307-8685
Phone Number
219-395-0667
Fax Number
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5455 Executive Pl Ste B
City
Jackson
State
Mississippi
Zip
39206-4104
Phone Number
219-395-0667
Fax Number
person
Provider Business Mailing Address Details
Address
5455 Executive Pl Ste B
City
Jackson
State
Mississippi
Zip
39206-4104
Phone Number
219-395-0667
Fax Number
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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