Msu Health Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MSU HEALTH LAB, LLC

Practice address

6620 Highland Rd Ste 210
Waterford, MI 48327-1682

Phone

(888) 275-5221

Fax

(888) 275-5224

NPI assigned

Sep 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Bratton

Title

Billing Manager

Phone

(888) 275-5221

Specialties & licenses 1

Addresses

Other names 1

• MSU Health Care Laboratories Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1710656129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 HIGHLAND RD STE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271682",
            "telephone_number": "888-275-5221",
            "fax_number": "888-275-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 HIGHLAND RD STE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271682",
            "telephone_number": "888-275-5221",
            "fax_number": "888-275-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSU HEALTH LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "888-275-5221"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSU Health Care Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lura Marie Morosan, B.S.W
• Diane L Morris, M.D.
• Patrick Morton, MSW
• Mosharraf U. Ahmed M.D. PC
• Motown Residential Physician PLLC
• Anisa Muhovic, PA-C
• Nya Mullens
• Ashley Muller, MA, LLPC
• Lenea Rae Mullins, NP NURSE PRACTITIONE
• Karam Mutammara

• Clinical Medical Laboratory in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.