Organization
BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
Active
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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