Organization · Type 2 NPI

Kent Pathology Laboratory PLLC

Anatomic Pathology & Clinical Pathology Physician · Grand Rapids, MI

NPI number 1740397124 Active

Practice location

2650 Horizon Dr SE, Suite B
Grand Rapids, MI 49546-7519

Fax (616) 458-1292

Specialties and licenses

Taxonomy	Code	License
Dermatopathology (Pathology) Physician	207ZD0900X	None listed
Anatomic Pathology & Clinical Pathology Physician Primary	207ZP0102X	None listed

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

3 other providers at this address

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NPI record

NPI: 1740397124
Entity type: Organization (Type 2)
Issued: Aug 23, 2006
Last updated: Jun 17, 2010
Status: Active
Subpart: Yes of Kent Pathology Laboratory PLLC

Other names

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Kent Pathology Laboratory LLC · former legal business name

Authorized official

Dr. Won Kyu Lee, MD
Medical Director
(616) 774-0209

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740397124

Kent Pathology Laboratory PLLC's National Provider Identifier is 1740397124, issued on Aug 23, 2006. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 17, 2010.