Kent Pathology Laboratory Pllc
NPI #1982660734 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1982660734
- Entity Type
- Organization
- Organization Name
- Kent Pathology Laboratory Pllc
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 21, 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. JOHN C PUI, M.D.
- Title
- DIRECTOR
- Phone
- (616) 458-1255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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