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KENT PATHOLOGY LABORATORY PLLC NPI 1740397124


NPI Information

NPI: 1740397124
Provider Name: KENT PATHOLOGY LABORATORY PLLC

Former Legal Business Name: KENT PATHOLOGY LABORATORY LLC

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
2650 HORIZON DR SE
SUITE B
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 458-1255
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KENT PATHOLOGY LABORATORY PLLC is an anatomic pathology and clinical pathology pathology in Grand Rapids, MI. The provider is 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, exclusion and monitoring of disease. KENT PATHOLOGY LABORATORY PLLC NPI is 1740397124. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Kent Pathology Laboratory Llc.

The provider's business location address is:

2650 HORIZON DR SE
SUITE B
GRAND RAPIDS, MI
ZIP 49546-519
Phone: (616) 458-1255
Fax: (616) 458-1292

The provider's authorized official is Won Kyu Lee .
The authorized official title is Medical Director and has the following contact phone number (616) 774-0209.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 6/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZD0900XPathologyDermatopathologyNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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