=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588587646
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUSTED DIAGNOSTICS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2026
-----------------------------------------------------
Last Update Date | 08/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16724 SAINT MARYS ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-687-4445
-----------------------------------------------------
Fax | 313-397-0258
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11000 W MCNICHOLS RD STE 323
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48221-2393
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-687-4445
-----------------------------------------------------
Fax | 313-397-0258
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LAB DIRECTOR
-----------------------------------------------------
Name | TATRINA M HOWARD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-687-4445
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------