FOODLAND LAB #30 (NPI# 1811388267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811388267 |
| Entity Type | Organization |
| Organization Name | FOODLAND LAB #30 |
| Practice Address |
5-4280 Kuhio Highway Princeville HI 96722 |
| Mailing Address |
Po Box 223005 Princeville HI 96722-3005 |
| Practice Telephone | 8088264228 |
| Practice Fax Number | 8088264199 |
| Mailing Telephone | 8088264228 |
| Mailing Fax Number | 8088264199 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | JACLYN MOORE (LAB DIRECTOR) |
| Authorized Official Telephone | 8088852075 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | FOODLAND SUPERMARKET LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 14-CP1-359 | HI | Laboratories |
| Street Address |
5-4280 KUHIO HIGHWAY |
| City | PRINCEVILLE |
| State | HI |
| Zip Code | 96722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437717691 | Christine Walinch | Acupuncturist | 5-4280 Kuhio Highway Suite G208, Princeville, HI 96722 | 2019-06-03 |
| 1356835730 | Princeville Pharmacy and Health Emporium LLC | Pharmacy | 4488 Hanalei Plantation Road, Suite 100, Princeville, HI 96722 | 2018-06-19 |
| 1972840759 | Neil J Clendeninn | Internal Medicine | 4335 Anini Vista Drive, Princeville, HI 96722 | 2013-01-14 |
| 1073755492 | Ace Monroe Hodgin Jr. | Internal Medicine | 4228 Waileia Place, Princeville, HI 96722 | 2009-03-31 |
| 1730255837 | Foodland Supermarket Ltd | Pharmacy | 5 4280 Kuhio Hwy, Princeville, HI 96722 | 2006-11-28 |
| 1629142005 | Victoria Jo Wright | Acupuncturist | 3783 Milimakani Place, Princeville, HI 96722 | 2006-11-20 |
| 1114431632 | Makana North Shore Clinic | Clinic/Center | 4488 Hanalei Plantation Rd, Princeville, HI 96722 | 2017-11-20 |
| 1285812578 | Benuelli Brothers Inc | Durable Medical Equipment & Medical Supplies | 5 4280 Kuhio Hwy, Princeville, HI 96722 | 2008-02-08 |
| 1972832202 | Hawaii Telerad LLC | Radiology | 4043 Aloalii Drive, Princeville, HI 96722-0000 | 2009-12-16 |
| 1851345664 | Sally Ann Bowen | Chiropractor | 5-4280 Kuhio Hwy, Suite B-206, Princeville, HI 96722-3489 | 2006-05-19 |
| Find all providers in zip 96722 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1841898533 | Eurofins Vrl, Inc. | Clinical Medical Laboratory | 2226 Liliha St Fl 5, Honolulu, HI 96817-1600 | 2020-10-14 |
| 1124671391 | Hawaii Vip Labs LLC | Clinical Medical Laboratory | 405 N Kuakini St Ste 607, Honolulu, HI 96817-6302 | 2019-07-17 |
| 1205394095 | Hawaii Pathologists' Laboratory | Clinical Medical Laboratory | 1301 Punchbowl St Fl 4, Honolulu, HI 96813-2402 | 2019-03-11 |
| 1447727318 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinical Medical Laboratory | 94-428 Mokuola St Ste 108b, Waipahu, HI 96797-3396 | 2018-10-30 |
| 1578030433 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinical Medical Laboratory | 87-2070 Farrington Hwy Ste N, Waianae, HI 96792-3756 | 2018-10-30 |
| 1093282964 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinical Medical Laboratory | 86-120 Farrington Hwy Ste C305a, Waianae, HI 96792-3072 | 2018-10-30 |
| 1780120709 | Hawaii Dermatopathology LLC | Clinical Medical Laboratory | 1300 N Holopono St Ste 214, Kihei, HI 96753-6945 | 2017-01-13 |
| 1285096750 | Kauai Hearing Conservation | Clinical Medical Laboratory | 4405 Kukui Grove St, Suite 101, Lihue, HI 96766-1601 | 2016-03-24 |
| 1285024794 | Foodland Lab #28 | Clinical Medical Laboratory | 4-771 Kuhio Hwy Ste 101, Kapaa, HI 96746-2719 | 2015-02-04 |
| Find all providers with the same taxonomy | ||||
| City | PRINCEVILLE |
| Zip Code | 96722 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.