Organization · NPI-2

Aggrandize Diagnostic Testing

Clinical Medical Laboratory · Detroit, MI

NPI number1619648664
StatusActive
Last updated in NPPESSep 21, 2021

Details

NPI
1619648664
Entity type
Organization (NPI-2)
Legal business name
Aggrandize Diagnostic Testing
Organization subpart
No
Enumeration date
Sep 21, 2021
Certification date
Sep 21, 2021
Last updated
Sep 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––

Practice location

20966 Grand River Ave
Detroit, MI 48219-3937

Phone 313-740-7733

Mailing address

20966 Grand River Ave
Detroit, MI 48219-3937

Phone 313-740-7733

Authorized official

Sarita Strait
Ceo
3137407733

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Medical Laboratory providers in Detroit, MI