# JS MEDICAL DIAGNOSTICS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538465786
- **Authorized official:** DR. JONATHAN SULE M.D. (PRESIDENT)
- **Authorized official phone:** (229) 292-2147

## Contact information

- **Practice address:** 3790 OLD US HWY 41 N, SUITE B, VALDOSTA, GA 31602
- **Practice address phone:** (229) 241-8811
- **Mailing address:** 4215 OAK FOREST DR, VALDOSTA, GA 31602-5007
- **Mailing address phone:** (229) 292-2147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 02/07/2011