Executive Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXECUTIVE DIAGNOSTICS LLC

Practice address

5455 Executive PL Ste B
Jackson, MS 39206-4104

Phone

(219) 395-0667

NPI assigned

Dec 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kirnjot Singh, MDNPI 1376541979

Title

President

Phone

(219) 395-0667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirnjot Singh, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Merrillville, IN
  • NPI 1376541979
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1134699945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10996 FOUR SEASONS PL STE 100A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 EXECUTIVE PL STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064104",
            "telephone_number": "219-395-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIRNJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-395-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meggan Everett, CNM
• Benedict E Ewaleifoh, MD
• Hadley Ewing
• Tashera Ewings
• Exceptional Touch Home Health, LLC
• Eyecare Professionals of Mississippi, PLLC
• Eyecare Professionals PA
• Eyecare Surgery Center, LLC
• Eyemart Express LLC
• Eyemart Express, LTD.

• Clinical Medical Laboratory in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.