MICHIGAN STATE UNIVERSITY
NPI 1629157979
Clinical Medical Laboratory in East Lansing, MI

Active since November 06, 2006
1355 BOGUE STREET, ROOM B123, EAST LANSING, MI 48824(517) 353-2032(517) 432-3879 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan State University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN STATE UNIVERSITY (NPI 1629157979) is a healthcare organization registered as a clinical medical laboratory in East Lansing, Michigan and active in the NPI registry since November 2006. The organization lists Lisa M Rucker, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1629157979
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
Location Address1355 BOGUE STREET, ROOM B123East Lansing, MI 48824-6239
Mailing Address1355 Bogue Street, Room B123East Lansing, MI 48824-6239 · (517) 353-2032 · Fax (517) 432-3879
Fax(517) 432-3879
Organization SubpartNo
Authorized OfficialLisa M RuckerProvider Enrollment Manager · (517) 355-8462
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 11, 2019
NPI 1629157979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1355 BOGUE STREET, East Lansing, MI 48824

Other Names 1

Doing Business AsMichigan State University

Other Identifiers 1

Medicaid1881849MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of Michigan State University's NPI number?

The NPI number for Board Of Trustees Of Michigan State University is 1629157979. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Michigan State University.

Where is Board Of Trustees Of Michigan State University located?

Board Of Trustees Of Michigan State University is located at 1355 Bogue Street Room B123, East Lansing, MI 48824. The listed phone number is (517) 353-2032.

What is Board Of Trustees Of Michigan State University's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Michigan State University was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.