Organization · Type 2 NPI

Board of Trustees of Michigan State University

Clinical Medical Laboratory · East Lansing, MI

NPI number 1144309642 Active

Practice location

463 E Circle Dr
East Lansing, MI 48824-7500

Call (517) 355-8237 Map

Fax (517) 432-0457

Mailing address

804 Service Rd Rm A109B
East Lansing, MI 48824-7015

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

32 other providers at this address

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NPI record

NPI: 1144309642
Entity type: Organization (Type 2)
Issued: Nov 3, 2006
Last updated: Jun 4, 2021
Status: Active

Other names

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Msu Laboratory - Olin - SHS · doing business as
Michigan State University · doing business as

Authorized official

Lisa Rucker
Enrollment & PT Accts Supervisor
(517) 884-2976

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144309642

Board of Trustees of Michigan State University's National Provider Identifier is 1144309642, issued on Nov 3, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in East Lansing, MI. The record was last updated on Jun 4, 2021.