Active NPI
Aivanta Labs LLC
- Clinical Medical Laboratory
- Farmington Hills, MI
National Provider Identifier
1689520108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.