OrganizationActive
Kent Pathology Laboratory PLLC
NPI 1740397124 · Anatomic Pathology & Clinical Pathology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1740397124
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Kent Pathology Laboratory PLLC
- Organization subpart
- Yes
- Authorized official
- Won Lee, Medical Director(616) 774-0209
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology (Pathology) Physician207ZD0900X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2650 Horizon Dr Se
Suite B
Grand Rapids, MI 49546-7519
Phone: (616) 458-1255
Fax: (616) 458-1292
Street-level locationGet directions
Mailing address
2650 Horizon Dr Se
Grand Rapids, MI 49546-7519
Other names (DBA / former)
- Former legal business name
- Kent Pathology Laboratory LLC
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.