Healthcare Provider Details

I. General information

NPI: 1760317192
Provider Name (Legal Business Name): SYNAPSE LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37085 GRAND RIVER AVE STE 1040
FARMINGTON HILLS MI
48335-2830
US

IV. Provider business mailing address

37085 GRAND RIVER AVE STE 1040
FARMINGTON HILLS MI
48335-2830
US

V. Phone/Fax

Practice location:
  • Phone: 248-916-6381
  • Fax:
Mailing address:
  • Phone: 248-916-6381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: VENKATA SAI PAVAN KUMAR GUPTHA GURRAM
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 248-916-6381