OrganizationActive
Michigan Dept of Health and Human Services
NPI 1215065883 · Clinical Medical Laboratory · Lansing, MI
Provider details
- NPI number
- 1215065883
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Sandip Shah, Laboratory Director(517) 335-8063
- License
- 23D0650909 (MI)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3350 N Martin Luther King Jr Blvd
State Laboratory
Lansing, MI 48906-2978
Phone: (517) 335-8063
Fax: (517) 335-8051
Street-level locationGet directions
Mailing address
3350 N Martin Luther King Jr Blvd
Lansing, MI 48906-2978
Other names (DBA / former)
- Doing business as
- State Laboratory
- Doing business as
- State Laboratory
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.