Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Radiology PLLC

Organization Radiography Radiologic Technologist · NPI 1154704948

Great Lakes Radiology PLLC is a Radiography Radiologic Technologist in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

461 W Huron
Pontiac, MI 48341
Phone: (248) 857-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence 4301067927 (MI)

Record details

NPI number1154704948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venicat Rudraraju — Owner · (248) 884-0003
NPI enumeratedJune 30, 2015
Last updated in NPPESJune 30, 2015
Mailing address4601 Dow Ridge Rd, Orchard Lake, MI 48324-2326