Organization
KENT PATHOLOGY LABORATORY PLLC
Active
Organization
KENT PATHOLOGY LABORATORY PLLC
Active
Other names
Kent Pathology Laboratory LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C PUI M.D. (DIRECTOR)
(616) 458-1255
Entity
Organization
Contact information
Practice address
2650 HORIZON DR SE, SUITE B, GRAND RAPIDS, MI 49546-7519
(616) 458-1255
(616) 458-1292
Mailing address
2650 HORIZON DR SE, SUITE B, GRAND RAPIDS, MI 49546-7519
(616) 458-1255
(616) 458-1292
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 23D0714247
MI
Other
Enumeration date
04/21/2006
Last updated
06/17/2010
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