Great Lakes Radiology PLLC
NPI 1154704948 · Radiography Radiologic Technologist · Pontiac, MI
Great Lakes Radiology PLLC is a Radiography Radiologic Technologist organization in Pontiac, MI (NPI 1154704948).
Provider details
- NPI number
- 1154704948
- Entity type
- Organization
- Primary specialty
- Radiography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Venicat Rudraraju, Owner(248) 884-0003
- License
- 4301067927 (MI)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2015-06-30
Frequently asked questions
- What is Great Lakes Radiology PLLC's NPI number?
- Great Lakes Radiology PLLC's National Provider Identifier (NPI) is 1154704948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Radiology PLLC?
- Great Lakes Radiology PLLC is classified in the NPPES registry as Radiography Radiologic Technologist (Technologists, Technicians & Other Technical Service Providers).
- Where is Great Lakes Radiology PLLC located?
- Great Lakes Radiology PLLC's practice location on file with NPPES is 461 West Huron, Pontiac, MI 48341.
- What is Great Lakes Radiology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Radiology PLLC is (248) 857-7200.
- Who is the authorized official for Great Lakes Radiology PLLC?
- The authorized official listed on Great Lakes Radiology PLLC's NPPES record is Venicat Rudraraju, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Radiology PLLC's NPI active?
- Yes — Great Lakes Radiology PLLC's NPI (1154704948) is active in the NPPES registry as of the last update on 2015-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.