Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Board of Trustees of Michigan State University

Organization Clinical Medical Laboratory · NPI 1629157979

Board of Trustees of Michigan State University is a Clinical Medical Laboratory in East Lansing, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1355 Bogue St Rm B123
East Lansing, MI 48824-6239
Phone: (517) 353-2032
Fax: (517) 432-3879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1629157979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Provider Enrollment Manager · (517) 355-8462
Other names Michigan State University
NPI enumeratedNovember 6, 2006
Last updated in NPPESApril 11, 2019
Mailing address1355 Bogue Street, Room B123, East Lansing, MI 48824-6239

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