Michigan State University

LBN: Board Of Trustees Of Michigan State University
Michigan State University is an health care organization with primary practice located at 1355 Bogue Street Room B123, East Lansing MI 48824-6239. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Board Of Trustees Of Michigan State University can be contacted via phone (517) 353-2032, or through Rucker, Lisa M via phone (517) 355-8462.

Contact Information

Primary practice address
1355 Bogue Street Room B123 East Lansing MI 48824-6239
Phone: (517) 353-2032
Fax: (517) 432-3879
Website:
Map and Directions
Authorized official contact:
Name: Rucker, Lisa M
Phone: (517) 355-8462

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1629157979
LBN Legal business name Board Of Trustees Of Michigan State University
DBA Doing business as Michigan State University
Authorized official Rucker, Lisa M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Apr 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629157979 NPPES
Michigan MEDICAID 1881849

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