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
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 - DermatopathologyDermatopathology
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology

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