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Great Lakes Radiology Pllc

Radiography Radiologic Technologist in Pontiac, MI · enumerated 2015 · authorized official Venicat Rudraraju, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154704948

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Radiology Pllc
Practice address 461 West Huron, Pontiac, MI, 48341
Phone (248) 857-7200
Enumeration date Jun 30, 2015
Last updated in NPPES Jun 30, 2015

Taxonomy & classification

2471C3402X Radiography Radiologic Technologist Technologists, Technicians & Other Technical Service Providers · License 4301067927 (MI) Primary

Authorized official

Name Venicat Rudraraju
Title Owner
Phone (248) 884-0003

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Great Lakes Radiology Pllc?
The NPI for Great Lakes Radiology Pllc is 1154704948, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Great Lakes Radiology Pllc?
NPPES lists Venicat Rudraraju (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-30.