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General NPI Number Information
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NPI Number | 1013854884
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Entity Type | Organization
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Legal Business Name | SYNAPSE LABS LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 37085 GRAND RIVER AVE STE 1040
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2830
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Country | US
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Telephone | 248-916-6381
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Fax |
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Provider Business Mailing Address
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Address Line | 37085 GRAND RIVER AVE STE 1040
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2830
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Country | US
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Telephone | 248-916-6381
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIALS
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Name | VENKATASAIPAVA K GURRAM
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Credential |
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Telephone | 248-916-6381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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