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Organization

BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY

Active
Other names
MSU Laboratory - Olin - SHS, Michigan State University
Organization subpart
No

Provider details

NPI number
Authorized official
LISA RUCKER (ENROLLMENT & PT ACCTS SUPERVISOR)
(517) 884-2976
Entity
Organization

Contact information

Practice address
463 E CIRCLE DR, EAST LANSING, MI 48824-7500
(517) 355-8237
(517) 432-0457
Mailing address
804 SERVICE RD RM A109B, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/03/2006
Last updated
06/04/2021
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