Organization Active NPI

Aggrandize Diagnostic Testing

  • Clinical Medical Laboratory
  • Detroit, MI
National Provider Identifier
1619648664
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AGGRANDIZE DIAGNOSTIC TESTING
Practice address
20966 Grand River Ave
Detroit, MI 48219-3937
Phone
(313) 740-7733
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarita Strait, RNNPI 1982313706
Title
Ceo
Phone
(313) 740-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193200000X MULTI-SPECIALTY GROUP 247ZC0005X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

20966 Grand River Ave
Detroit, MI 48219-3937

Mailing address

20966 Grand River Ave
Detroit, MI 48219-3937
Phone (313) 740-7733

National Provider Directory

National Provider Directory

Locations

20966 Grand River Ave
Detroit, MI 48219
Phone (313) 255-4070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1619648664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20966 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193937",
            "telephone_number": "313-740-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20966 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193937",
            "telephone_number": "313-740-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGRANDIZE DIAGNOSTIC TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "STRAIT",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-740-7733",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "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 Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.