Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Electrophysiological Testing Services

Organization Specialist · NPI 1992855639

Great Lakes Electrophysiological Testing Services provides Specialist services in Farmington Hills, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

28959 Augusta
Farmington Hills, MI 48331-4822
Phone: (248) 489-1771
Fax: (248) 489-1771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1992855639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chyawan Bansil — President · (248) 489-1771
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address28959 Augusta, Farmington Hills, MI 48331-4822

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