Organization
MICHIGAN DEPT OF HEALTH AND HUMAN SERVICES
Active
Organization
MICHIGAN DEPT OF HEALTH AND HUMAN SERVICES
Active
Other names
State Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDIP SHAH PHD (LABORATORY DIRECTOR)
(517) 335-8063
Entity
Organization
Contact information
Practice address
3350 N MARTIN LUTHER KING JR BLVD, STATE LABORATORY, LANSING, MI 48906-2978
(517) 335-8063
(517) 335-8051
Mailing address
3350 N MARTIN LUTHER KING JR BLVD, STATE LABORATORY, LANSING, MI 48906-2978
(517) 335-8063
(517) 335-8051
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0650909
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4778402
—
MI
Enumeration date
03/02/2007
Last updated
08/25/2020
Update your record
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