Kent Pathology Laboratory Pllc
NPI #1740397124 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1740397124
- Entity Type
- Organization
- Organization Name
- Kent Pathology Laboratory Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KENT PATHOLOGY LABORATORY PLLC
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Jun 17, 2010
Practice Location
- Address
- 2650 HORIZON DR SE
- Address 2
- SUITE B
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-7519
- Phone
- (616) 458-1255
Authorized Official
- Name
- DR. WON KYU LEE, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (616) 774-0209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Dermatopathology — Dermatopathology |
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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