Organization
AIVANTA LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA SAI PAVAN KUMAR GUPTHA GURRAM (OWNER/AUTHORIZED OFFICIAL)
(248) 916-6381
Entity
Organization
Contact information
Practice address
37085 GRAND RIVER AVE STE 1105, FARMINGTON HILLS, MI 48335-2830
(248) 916-6381
Mailing address
37085 GRAND RIVER AVE STE 1105, FARMINGTON HILLS, MI 48335-2830
(248) 916-6381
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
04/07/2026
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