Executive Diagnostics LLC in Jackson, MS
This organization bills under NPI 1134699945, an organization record issued on Dec 5, 2018 with the primary taxonomy Clinical Medical Laboratory. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1134699945
- Legal name
- Executive Diagnostics LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Clinical Medical Laboratory 291U00000X
- Practice location
- 5455 EXECUTIVE PL STE B, Jackson, MS 39206
- Phone
- 219-395-0667
- Mailing address
- Crown Point, IN
- Enumerated
- Dec 5, 2018
- Record updated
- Dec 5, 2018
- Authorized official
- President (title as filed)
Checking an organization
- Confirm the business with the Mississippi secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Why is the mailing address in Indiana?
The mailing address in the record (Crown Point, IN) is where the organization receives mail. Care is given at the practice location in Jackson.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.