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

Michigan State University

Organization Clinical Medical Laboratory · NPI 1295978054

Michigan State University is a Clinical Medical Laboratory in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

1355 Bogue St Rm B228
East Lansing, MI 48824-6207
Phone: (517) 355-4616
Fax: (517) 353-5436
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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 · Licence 23D0650872 (MI)

Record details

NPI number1295978054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Enrollment & Patient Accts Manager · (517) 884-2976
NPI enumeratedApril 9, 2009
Last updated in NPPESApril 5, 2018
Mailing address1355 Bogue Street, Room B228, East Lansing, MI 48824-6239

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