OrganizationActive
Executive Diagnostics LLC
NPI 1134699945 · Clinical Medical Laboratory · Jackson, MS
Provider details
- NPI number
- 1134699945
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kirnjot Singh, President(219) 395-0667
Specialties & taxonomies
Laboratories
Practice location
5455 Executive Pl Ste B
Jackson, MS 39206-4104
Phone: (219) 395-0667
Approximate (ZIP-level) locationGet directions
Mailing address
10996 Four Seasons Pl Ste 100a
Crown Point, IN 46307-8685
Registry dates
- Enumerated
- 2018-12-05
- Last updated
- 2018-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.