Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Diagnostics LLC

Organization Clinical Medical Laboratory · NPI 1134699945

Executive Diagnostics LLC is a Clinical Medical Laboratory in Jackson, Mississippi. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5455 Executive Pl Ste B
Jackson, MS 39206-4104
Phone: (219) 395-0667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1134699945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirnjot Singh — President · (219) 395-0667
NPI enumeratedDecember 5, 2018
Last updated in NPPESDecember 5, 2018
Mailing address10996 Four Seasons Pl Ste 100a, Crown Point, IN 46307-8685

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