KAM DIAGNOSTIC RADIOLOGY LLC (NPI# 1881090405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881090405 |
| Entity Type | Organization |
| Organization Name | KAM DIAGNOSTIC RADIOLOGY LLC |
| Practice Address |
94-239 Waipahu Depot St Waipahu HI 96797-3056 |
| Mailing Address |
95-1009 Helepu St Mililani HI 96789-6607 |
| Practice Telephone | 8086711000 |
| Mailing Telephone | 8054180333 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | COREY LYNN ROWE (VP) |
| Authorized Official Telephone | 8054180333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
94-239 WAIPAHU DEPOT ST |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267145 | Howard Neudorf | Family Medicine | 94-239 Waipahu Depot St, 106, Waipahu, HI 96797-3056 | 2005-12-27 |
| 1982193967 | Norman Sm Cheung Dds LLC | Dentist | 94-239 Waipahu Depot St, Waipahu, HI 96797-3056 | 2018-05-06 |
| 1790180156 | Corey Lynn Rowe | Radiologic Technologist | 94-239 Waipahu Depot St, Waipahu, HI 96797-3056 | 2014-10-28 |
| 1295154904 | Buenaventura E. Realica | Internal Medicine | 94-239 Waipahu Depot St, Waipahu, HI 96797-3056 | 2014-04-09 |
| 1558631259 | Mark D. Sakurai, D.d.s., LLC | Dentist | 94-239 Waipahu Depot St, Unit 212, Waipahu, HI 96797-3056 | 2012-01-11 |
| 1972823318 | Marcos S. Corpuz, Dds, Inc. | Dentist | 94-239 Waipahu Depot St, Suite 212, Waipahu, HI 96797-3056 | 2010-06-08 |
| 1023297835 | Dennis I. Maehara, M.d., Inc. | Specialist | 94-239 Waipahu Depot St, Ste 105, Waipahu, HI 96797 | 2007-10-29 |
| 1689720880 | Glenn Mikio Watanabe | Optometrist | 94-239 Waipahu Depot St, #213, Waipahu, HI 96797-3056 | 2007-01-28 |
| 1326065392 | Marcos S Corpuz | Dentist | 94-239 Waipahu Depot St, Suite 212, Waipahu, HI 96797-2036 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790180156 | Corey Lynn Rowe | Radiologic Technologist | 94-239 Waipahu Depot St, Waipahu, HI 96797-3056 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802234 | Hawaii Pet Imaging, LLC. | Radiologic Technologist | 1401 S Beretania St, Ste. 107, Honolulu, HI 96814-1870 | 2005-06-22 |
| 1972914117 | Hawaii Pet Imaging LLC | Radiologic Technologist | 98-1247 Kaahumanu St, Suite 320, Aiea, HI 96701-5311 | 2014-05-09 |
| 1700173432 | Jennifer Michelle Consolver | Radiologic Technologist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-07-01 |
| 1205151818 | Hawaii Pet Imaging LLC | Radiologic Technologist | 1029 Kapahulu Ave, Ste 500, Honolulu, HI 96816-1332 | 2010-04-07 |
| 1629108477 | Liliha X-ray Services | Radiologic Technologist | 1712 Liliha St, Suite 301, Honolulu, HI 96817-5410 | 2007-03-07 |
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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.