OrganizationActive
Aivanta Labs LLC
NPI 1689520108 · Clinical Medical Laboratory · Farmington Hills, MI
Provider details
- NPI number
- 1689520108
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Venkata Sai Pavan Kumar Guptha Gurram, Owner/Authorized Official
Practice location
37085 Grand River Ave Ste 1105
Farmington Hills, MI 48335-2830
Phone: (248) 916-6381
Mailing address
37085 Grand River Ave Ste 1105
Farmington Hills, MI 48335-2830
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.