MICHIGAN STATE UNIVERSITY NPI 1922265941

NPI Information

NPI: 1922265941
Provider Name: MICHIGAN STATE UNIVERSITY
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
EAST CIRCLE DR
OLIN HEALTH CENTER
EAST LANSING, MI
ZIP 48824
Phone: (517) 355-4510
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MICHIGAN STATE UNIVERSITY is a diagnostic radiology radiology in East Lansing, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MICHIGAN STATE UNIVERSITY NPI is 1922265941. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

EAST CIRCLE DR
OLIN HEALTH CENTER
EAST LANSING, MI
ZIP 48824-037
Phone: (517) 355-4510

The provider's authorized official is Lisa M Rucker .
The authorized official title is Enrollment & Patient Accts Manager and has the following contact phone number (517) 355-8462.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 4/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0C36058	OTHER	MICHIGAN	BCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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