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GREAT LAKES RADIOLOGY PLLC
NPI 1154704948
Radiologic Technologist - Radiography in Pontiac, MI

Active since June 30, 2015
461 WEST HURON, PONTIAC, MI 48341(248) 857-7200 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Great Lakes Radiology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES RADIOLOGY PLLC (NPI 1154704948) is a healthcare organization registered as a radiography in Pontiac, Michigan and active in the NPI registry since June 2015. The organization lists Venicat Rudraraju, Owner, as its authorized official.

NPPES Registry Identity

NPI1154704948
Entity TypeOrganization
Primary Taxonomy2471C3402X
Legal Business NameGREAT LAKES RADIOLOGY PLLC
Location Address461 WEST HURONPontiac, MI 48341
Mailing Address4601 Dow Ridge RdOrchard Lake, MI 48324-2326 · (248) 884-0003
Phone(248) 857-7200
Organization SubpartNo
Authorized OfficialVenicat RudrarajuOwner · (248) 884-0003
Enumeration DateJune 30, 2015
✔ NPI 1154704948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471C3402X
License✔ Licensed in MI · 4301067927
Definition
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
461 WEST HURON, Pontiac, MI 48341
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADEEL KHALID M.D.
Radiology (Diagnostic Radiology)
461 WEST HURON
PONTIAC, MI 48341
Oakland County (248) 857-7515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Radiology PLLC's NPI number?

The NPI number for Great Lakes Radiology PLLC is 1154704948. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Great Lakes Radiology PLLC located?

Great Lakes Radiology PLLC is located at 461 West Huron, Pontiac, MI 48341. The listed phone number is (248) 857-7200.

What is Great Lakes Radiology PLLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

What insurance does Great Lakes Radiology PLLC accept?

Health plans from McLaren Health Plan Community and Priority Health list Great Lakes Radiology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Radiology PLLC was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.