Great Lakes Radiology PLLC
NPI 1154704948ActiveOrganization· Radiologic Technologist, Radiography· Pontiac, MI
Radiologic Technologist, Radiography in Pontiac, Michigan, registered in NPPES in June 2015. The authorized official on file is Venicat Rudraraju, MD, Owner.
Overview
| NPI | 1154704948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2015 |
| Last updated in NPPES | Jun 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiologic Technologist, Radiography Primary | 2471C3402X | 4301067927 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|