Great Lakes Radiology Pllc

LBN: Great Lakes Radiology Pllc
Great Lakes Radiology Pllc is an health care organization with primary practice located at 461 West Huron , Pontiac MI 48341. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as the primary health care specialty. Great Lakes Radiology Pllc can be contacted via phone (248) 857-7200, or through Rudraraju, Venicat via phone (248) 884-0003.

Contact Information

Primary practice address
461 West Huron Pontiac MI 48341
Phone: (248) 857-7200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rudraraju, Venicat Doctor of Medicine (MD)
Phone: (248) 884-0003

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 4301067927 Michigan

Profile Details

NPI number 1154704948
LBN Legal business name Great Lakes Radiology Pllc
DBA Doing business as
Authorized official Rudraraju, Venicat Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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