Organization Active NPI

Aivanta Labs LLC

  • Clinical Medical Laboratory
  • Farmington Hills, MI
National Provider Identifier
1689520108
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AIVANTA LABS LLC
Practice address
37085 Grand River Ave Ste 1105
Farmington Hills, MI 48335-2830
Phone
(248) 916-6381
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Venkata Sai Pavan Kumar Guptha Gurram
Title
Owner/Authorized Official
Phone
(248) 916-6381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

37085 Grand River Ave Ste 1105
Farmington Hills, MI 48335-2830

Mailing address

37085 Grand River Ave Ste 1105
Farmington Hills, MI 48335-2830
Phone (248) 916-6381

National Provider Directory

National Provider Directory

Locations

37085 Grand River Ave
Ste 1105
Farmington Hills, MI 48335
Phone (248) 916-6381

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1689520108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37085 GRAND RIVER AVE STE 1105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352830",
            "telephone_number": "248-916-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37085 GRAND RIVER AVE STE 1105",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352830",
            "telephone_number": "248-916-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIVANTA LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "GURRAM",
        "authorized_official_first_name": "VENKATA SAI PAVAN KUMAR GUPTHA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-916-6381"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.