| NPI | 1740397124 |
|---|---|
| Former Legal Business Name | KENT PATHOLOGY LABORATORY LLC |
| Entity Type | Organization |
| Authorized Contact | WON KYU LEE Medical Director 616-774-0209 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-06-17 |