GREAT LAKES RADIOLOGY PLLC – NPI #1154704948
Radiologic Technologist

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Health Care Provider Taxonomy Code for Radiologic Technologist

GREAT LAKES RADIOLOGY PLLC is a radiologic technologist located in PONTIAC, MI. NPPES has assigned the NPI number 1154704948 to GREAT LAKES RADIOLOGY PLLC on June 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2471C3402X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Radiography Radiologic Technologist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES RADIOLOGY PLLC below.

NPI Profile for
GREAT LAKES RADIOLOGY PLLC

NPI Number
1154704948
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES RADIOLOGY PLLC
Primary location
461 WEST HURON
PONTIAC, MI 48341
Phone: (248) 857-7200 Fax:
Mailing address
4601 DOW RIDGE RD
ORCHARD LAKE, MI 48324-2326
Phone: (248) 884-0003 Fax:
Organization Subpart
No
Authorized Official
VENICAT RUDRARAJU
OWNER
Phone: (248) 884-0003
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2471C3402X
- Radiologic Technologist / Radiography Radiologic Technologist (Primary)		 MI 4301067927

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.