Organization
ADVANCED DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A JERNIGAN M.D. (PRESIDENT)
(334) 265-6153
Entity
Organization
Contact information
Practice address
1301 MULBERRY ST, MONTGOMERY, AL 36106-1132
(334) 265-6153
(334) 265-6943
Mailing address
1301 MULBERRY ST, MONTGOMERY, AL 36106-1132
(334) 265-6153
(334) 265-6943
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
11940
AL
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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