Michigan State University

LBN: Michigan State University
Michigan State University is an health care organization with primary practice located at 804 Service Rd # D100 , East Lansing MI 48824-7015. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Michigan State University can be contacted via phone (517) 353-5053, or through Rucker, Lisa via phone (517) 884-2976.

Contact Information

Primary practice address
804 Service Rd # D100 East Lansing MI 48824-7015
Phone: (517) 353-5053
Fax: (517) 432-4394
Website:
Map and Directions
Authorized official contact:
Name: Rucker, Lisa
Phone: (517) 884-2976

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 4301023246 Michigan
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301040697 Michigan

Profile Details

NPI number 1891747614
LBN Legal business name Michigan State University
DBA Doing business as
Authorized official Rucker, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Apr 5th, 2018 - about 6 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 1891747614 NPPES
Michigan MEDICAID 1891747614

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