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NRST DETROIT, LLC
NPI 1083583942
Clinic/Center - Research in Detroit, MI

Active since October 30, 2025CLIA 23D2328988 · Waiver
17950 WOODWARD AVE, DETROIT, MI 48203(916) 753-5762(916) 536-6416 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nrst Detroit, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NRST DETROIT, LLC (NPI 1083583942) is a healthcare organization registered as a research in Detroit, Michigan and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Brian Scallen, Cmo, as its authorized official.

NPPES Registry Identity

NPI1083583942
Entity TypeOrganization
Primary Taxonomy261QR1100X
Legal Business NameNRST DETROIT, LLC
Location Address17950 WOODWARD AVEDetroit, MI 48203-2260
Mailing Address17950 Woodward AveDetroit, MI 48203-2260 · (916) 753-5762 · Fax (916) 536-6416
Phone(916) 753-5762
Fax(916) 536-6416
Organization SubpartNo
Authorized OfficialBrian ScallenCmo · (916) 753-5762
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1083583942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · ResearchAmbulatory Health Care Facilities
Taxonomy Code261QR1100X
17950 WOODWARD AVE, Detroit, MI 48203
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2328988

Nrst - Detroit · Highland Park, MI
Active · expires Aug 19, 2027
CLIA Number23D2328988
Laboratory TypeClinical Research
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorRakesh Amin
Laboratory Phone(402) 669-0419
Laboratory LocationNrst - Detroit17950 Woodward Avenue, Highland Park, MI 48203
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANKLIN MEDICAL PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 866-4660
KATI PANNECOUCK REGISTERED NURSE
Registered Nurse
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 401-0929
VITAL HEALTH MANAGEMENT
Community/Behavioral Health
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 815-8908
MRS. MANJULA ROY M.D.
Family Medicine
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 867-2300
MS. KANISHA JACKSON
Case Manager/Care Coordinator
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 401-0929
THOMAS JENKINS
Case Manager/Care Coordinator
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 401-0929
AMEYA SEMORA GLOVER BD
Case Manager/Care Coordinator
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 401-0929
MR. CHARLES ROBERT FERGUSON MS, LPC, NBCC
Community Health Worker
17950 WOODWARD AVE
DETROIT, MI 48203
Wayne County (313) 401-0929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nrst Detroit, LLC's NPI number?

The NPI number for Nrst Detroit, LLC is 1083583942. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is Nrst Detroit, LLC located?

Nrst Detroit, LLC is located at 17950 Woodward Ave, Detroit, MI 48203. The listed phone number is (916) 753-5762.

What is Nrst Detroit, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Research, with taxonomy code 261QR1100X.

Does Nrst Detroit, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2328988) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nrst Detroit, LLC was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.