Great Lakes Radiology PLLC

Organization Radiography Radiologic Technologist · NPI 1154704948

Great Lakes Radiology PLLC provides Radiography Radiologic Technologist services in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in: MI
In the registry since: 2015

What do these letters mean?

PLLC — Professional limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 W Huron
Pontiac, MI 48341 Not confirmed with CMS for 11 years — call before visiting
Phone: (248) 857-7200

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary)	Taxonomy 2471C3402X · Licence 4301067927 (MI)

Record details

NPI number	1154704948
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Venicat Rudraraju — Owner · (248) 884-0003
NPI enumerated	June 30, 2015
Last updated in NPPES	June 30, 2015
Mailing address	4601 Dow Ridge Rd, Orchard Lake, MI 48324-2326