NPIMap

Lansing Pediatric Associates, P.C.

Organization Active NPI Pediatrics Physician · Lansing, MI

NPI 1902063530 · NPPES record last updated May 21, 2008

Key facts

NPI
1902063530
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
LANSING PEDIATRIC ASSOCIATES, P.C.
Practice address
2414 Lake Lansing Rd
Lansing, MI 48912-3618
Phone
(517) 371-4712
NPI assigned
May 21, 2008
Organization subpart
No

Authorized official

Name
Dr. Mark S Takagishi, D.O. NPI 1639274673
Title
President
Phone
(517) 371-4712

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0376484Lansing Pediatric Associates
2414 Lake Lansing Road, Lansing, MI 48912		Certificate of waiverJul 6, 2026

National Provider Directory

Locations

2414 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 341-4712

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

2414 Lake Lansing Rd
Lansing, MI 48912-3618

Mailing address

2414 Lake Lansing Rd
Lansing, MI 48912-3618
Phone (517) 371-4712

Other providers in Lansing, MI

All providers in Lansing, MI · Pediatrics Physician in Michigan

Sources for this page

Verify at the official NPI Registry.