Organization
AIVANTA LABS LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up