OrganizationActive
Board of Trustees of Michigan State University
NPI 1144309642 · Clinical Medical Laboratory · East Lansing, MI
Provider details
- NPI number
- 1144309642
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lisa Rucker, Enrollment & PT Accts Supervisor(517) 884-2976
Specialties & taxonomies
Laboratories
Practice location
463 E Circle Dr
East Lansing, MI 48824-7500
Phone: (517) 355-8237
Fax: (517) 432-0457
Approximate (ZIP-level) locationGet directions
Mailing address
804 Service Rd Rm A109b
East Lansing, MI 48824-7015
Other names (DBA / former)
- Doing business as
- Msu Laboratory - Olin - Shs
- Doing business as
- Michigan State University
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.