Organization
GREAT LAKES RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENICAT RUDRARAJU MD (OWNER)
(248) 884-0003
Entity
Organization
Contact information
Practice address
461 WEST HURON, PONTIAC, MI 48341
(248) 857-7200
Mailing address
4601 DOW RIDGE RD, ORCHARD LAKE, MI 48324-2326
(248) 884-0003
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
4301067927
MI
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us