Active NPI
NRST Detroit, LLC
- Research Clinic/Center
- Detroit, MI
National Provider Identifier
1083583942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- NRST DETROIT, LLC
- Practice address
- 17950 Woodward Ave
Detroit, MI 48203-2260 - Phone
- (916) 753-5762
- Fax
- (916) 536-6416
- NPI assigned
- Oct 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Scallen, MD
- Title
- Cmo
- Phone
- (916) 753-5762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
17950 Woodward Ave
Detroit, MI 48203-2260
Mailing address
17950 Woodward Ave
Detroit, MI 48203-2260
Phone (916) 753-5762
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2328988 | NRST - Detroit | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1083583942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17950 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482032260",
"telephone_number": "916-753-5762",
"fax_number": "916-536-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17950 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482032260",
"telephone_number": "916-753-5762",
"fax_number": "916-536-6416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NRST DETROIT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "SCALLEN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "916-753-5762",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.