BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY (NPI# 1144309642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144309642 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY |
| Other Organization Name | MSU LABORATORY - OLIN - SHS |
| Practice Address |
463 E Circle Dr East Lansing MI 48824-7500 |
| Mailing Address |
804 Service Rd Rm A109b East Lansing MI 48824-7015 |
| Practice Telephone | 5173558237 |
| Practice Fax Number | 5174320457 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | LISA RUCKER (ENROLLMENT & PATIENT ACCTS MANAGER) |
| Authorized Official Telephone | 5178842976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Michigan State University | Doing Business As Name - Organization |
| MSU Laboratory - Olin - SHS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992242267 | Board of Trustees of Michigan State University | Community/Behavioral Health | 4930 S Hagadorn Rd, East Lansing, MI 48823-5312 | 2017-01-25 |
| 1629157979 | Board of Trustees of Michigan State University | Clinical Medical Laboratory | 1355 Bogue Street, Room B123, East Lansing, MI 48824-6239 | 2006-11-06 |
| 1821493974 | Board of Trustees of Michigan State University | Allergy & Immunology | 1200 E Michigan Ave, Ste 145, Lansing, MI 48912-1800 | 2014-10-31 |
| 1770646028 | Board of Trustees of Michigan State University | Family Medicine | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2006-12-18 |
| Street Address |
463 E CIRCLE DR |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150683 | Patricia Ann Ryan | Family Medicine | 463 E Circle Dr, East Lansing, MI 48824-7505 | 2005-11-08 |
| 1528685732 | Basak Amelia Khamush | Psychologist | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2020-07-03 |
| 1780066894 | Sarah Elizabeth Fay-simons | Social Worker | 463 E Circle Dr, Room 123, East Lansing, MI 48824-7500 | 2015-06-25 |
| 1366821324 | Chetan Chauhan | Psychiatry & Neurology | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2015-05-23 |
| 1063813889 | Dawn M Goldstein | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2014-09-11 |
| 1932508116 | Chanda Bolander | Social Worker | 463 E Circle Dr, Rm 123, East Lansing, MI 48824-7505 | 2014-08-14 |
| 1336563485 | Nancy Fontus | Pharmacist | 463 E Circle Dr, Room103, East Lansing, MI 48824-7505 | 2014-02-10 |
| 1467740878 | Tami Jean Hiser | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2011-07-19 |
| 1003115718 | Angela J H Arsenault | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2011-03-21 |
| 1801119532 | Susan R Wilson | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631595 | Catalyst Diagnostic LLC | Clinical Medical Laboratory | 4942 Dawn Ave Ste 210, East Lansing, MI 48823-5606 | 2020-05-19 |
| 1295978054 | Michigan State University | Clinical Medical Laboratory | 1355 Bogue St Rm B228, East Lansing, MI 48824-6207 | 2009-04-09 |
| 1487780565 | Michigan State University | Clinical Medical Laboratory | B228 Life Sciences Bldg, East Lansing, MI 48824 | 2007-02-26 |
| 1629157979 | Board of Trustees of Michigan State University | Clinical Medical Laboratory | 1355 Bogue Street, Room B123, East Lansing, MI 48824-6239 | 2006-11-06 |
| 1417033556 | Michigan State University | Clinical Medical Laboratory | 804 Service Rd, Ste A203, East Lansing, MI 48824-7015 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726633 | Shores Diagnostic LLC | Clinical Medical Laboratory | 3611 Carpenter St Ste 6, Hamtramck, MI 48212-2784 | 2020-09-28 |
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1407466253 | Van Laan Industries Inc. | Clinical Medical Laboratory | 3414 Lovers Ln Ste A, Kalamazoo, MI 49001-4806 | 2020-08-06 |
| 1164049524 | Rapid Biosense LLC | Clinical Medical Laboratory | 46701 Commerce Center Dr, Plymouth, MI 48170-2475 | 2020-07-01 |
| 1467073460 | Lynx Dx Inc | Clinical Medical Laboratory | 333 Jackson Plz Ste 600, Ann Arbor, MI 48103-1922 | 2020-04-30 |
| 1184245219 | Olive Labs, Inc. | Clinical Medical Laboratory | 150 Livernois St, Ferndale, MI 48220-2302 | 2020-04-29 |
| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1134757339 | Vibra of Southeastern Michigan, LLC | Clinical Medical Laboratory | 1307-a Allen Drive, Troy, MI 48083-4010 | 2020-04-01 |
| 1972137560 | Functional Fluidics LLC | Clinical Medical Laboratory | 440 Burroughs St Ste 641, Detroit, MI 48202-3474 | 2020-02-24 |
| 1023648938 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4045 W 13 Mile Rd Ste A, Royal Oak, MI 48073-6640 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.