Organization
Z3 DIAGNOSTICS, LLC
Active
Other names
Z3 Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHJAHAN SULTAN M.D. (CHIEF MEDICAL DIRECTOR)
(412) 721-2417
Entity
Organization
Contact information
Practice address
1485 LIVINGSTON LN, JACKSON, MS 39213-8004
(601) 214-6181
Mailing address
1485 LIVINGSTON LN, JACKSON, MS 39213-8004
(601) 214-6181
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21500
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04377714
—
MS
01
—
351416
PTAN
MS
Enumeration date
02/29/2016
Last updated
02/29/2016
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