Executive Diagnostic Group, PLLC
NPI 1881955953 · Multi-Specialty Clinic/Center · Dearborn, MI
Executive Diagnostic Group, PLLC is a Multi-Specialty Clinic/Center organization in Dearborn, MI (NPI 1881955953).
Provider details
- NPI number
- 1881955953
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Luis Jorge, Owner(313) 359-9361
- License
- 4301038699 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2014-09-18
Frequently asked questions
- What is Executive Diagnostic Group, PLLC's NPI number?
- Executive Diagnostic Group, PLLC's National Provider Identifier (NPI) is 1881955953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Diagnostic Group, PLLC?
- Executive Diagnostic Group, PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Executive Diagnostic Group, PLLC located?
- Executive Diagnostic Group, PLLC's practice location on file with NPPES is 1711 Monroe St, Dearborn, MI 48124-2914.
- What is Executive Diagnostic Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Diagnostic Group, PLLC is (313) 359-9361.
- Who is the authorized official for Executive Diagnostic Group, PLLC?
- The authorized official listed on Executive Diagnostic Group, PLLC's NPPES record is Luis Jorge, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Diagnostic Group, PLLC's NPI active?
- Yes — Executive Diagnostic Group, PLLC's NPI (1881955953) is active in the NPPES registry as of the last update on 2014-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.