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
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