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Contact Information

KENT PATHOLOGY LABORATORY PLLC
2650 HORIZON DR SE
SUITE B
GRAND RAPIDS, MI49546-7519
 Phone: 616-458-1255
 Fax: 616-458-1292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KENT PATHOLOGY LABORATORY PLLC

NPI # 1740397124
LBN Legal business name KENT PATHOLOGY LABORATORY PLLC
Authorized official WON LEE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/23/2006
Last updated 06/17/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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