OrganizationActive
Advanced Diagnostic Services, LLC
NPI 1730132739 · Physiological Laboratory · Montgomery, AL
Provider details
- NPI number
- 1730132739
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- John Jernigan, President(334) 265-6153
- License
- 11940 (AL)
Specialties & taxonomies
Laboratories
Practice location
1301 Mulberry St
Montgomery, AL 36106-1132
Phone: (334) 265-6153
Fax: (334) 265-6943
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Mulberry St
Montgomery, AL 36106-1132
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.