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1134699945
EXECUTIVE DIAGNOSTICS LLC
JACKSON, MS
NPI
1134699945
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Entity Type
Organization
Authorized Contact
KIRNJOT SINGH
President
219-395-0667
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
EXECUTIVE DIAGNOSTICS LLC
5455 EXECUTIVE PL STE B
JACKSON, MS 39206-4104
Phone number: 219-395-0667
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Mailing Address
EXECUTIVE DIAGNOSTICS LLC
10996 FOUR SEASONS PL STE 100A
CROWN POINT, IN 46307-8685
Phone number:
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