OrganizationActive
Board of Trustees of Michigan State University
NPI 1629157979 · Clinical Medical Laboratory · East Lansing, MI
Provider details
- NPI number
- 1629157979
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lisa Rucker, Provider Enrollment Manager(517) 355-8462
Specialties & taxonomies
Laboratories
Practice location
1355 Bogue Street
Room B123
East Lansing, MI 48824-6239
Phone: (517) 353-2032
Fax: (517) 432-3879
Approximate (ZIP-level) locationGet directions
Mailing address
1355 Bogue Street
East Lansing, MI 48824-6239
Other names (DBA / former)
- Doing business as
- Michigan State University
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2019-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.