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MICHIGAN STATE UNIVERSITY
NPI 1891747614
Radiology - Diagnostic Radiology in East Lansing, MI

Active since May 17, 2006
804 SERVICE RD # D100, EAST LANSING, MI 48824(517) 353-5053(517) 432-4394 Get Directions Write a Review

NPPES record last updated: April 5, 2018. 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 1891747614) is a healthcare organization registered as a diagnostic radiology in East Lansing, Michigan and active in the NPI registry since May 2006. The organization lists Lisa Rucker, Enrollment & Patient Accts Manager, as its authorized official.

NPPES Registry Identity

NPI1891747614
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMICHIGAN STATE UNIVERSITY
Location Address804 SERVICE RD # D100East Lansing, MI 48824-7015
Mailing Address804 Service Rd Rm A109fEast Lansing, MI 48824-7015 · (517) 884-2975 · Fax (517) 432-3928
Phone(517) 353-5053
Fax(517) 432-4394
Organization SubpartNo
Authorized OfficialLisa RuckerEnrollment & Patient Accts Manager · (517) 884-2976
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 5, 2018
✔ NPI 1891747614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License 4301023246 (MI)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 4301040697 (MI)
804 SERVICE RD # D100, East Lansing, MI 48824
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Other Identifiers 1

Medicaid1891747614MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNE EUN YOUNG LEE D.O.
Radiology (Diagnostic Radiology)
804 SERVICE RD # D100
EAST LANSING, MI 48824
Ingham County (517) 353-5053

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 Michigan State University's NPI number?

The NPI number for Michigan State University is 1891747614. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Michigan State University located?

Michigan State University is located at 804 Service Rd # D100, East Lansing, MI 48824. The listed phone number is (517) 353-5053.

What is Michigan State University's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Michigan State University accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Michigan State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan State University was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.