HAWAII PET IMAGING, LLC.


Address: 1401 S Beretania St, Ste. 107, Honolulu, HI 96814-1870
Phone: 8085901504

HAWAII PET IMAGING, LLC. (NPI# 1902802234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902802234
Entity Type Organization
Organization Name HAWAII PET IMAGING, LLC.
Other Organization Name HAWAII ADVANCED IMAGING INSTITUTE
Practice Address 1401 S Beretania St
Ste. 107
Honolulu
HI 96814-1870
Mailing Address 5001 25th Ave Ne
Ste. 202
Seattle
WA 98105
Practice Telephone 8085901504
Practice Fax Number 8085911506
Mailing Telephone 2062723580
Mailing Fax Number 2062723588
Enumeration Date 2005-06-22
Last Update Date 2012-12-20
Authorized Official Name MR. SCOTT B. HALLIDAY (PRESIDENT/OWNER)
Authorized Official Telephone 2062723580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 10667130 HI Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
HI 52788001 05
HI QUEENS/MDX PIN Z1625 01
HI 527880 05
HI HMSA PIN 234351 01

Other Provider/Organization Names

Other Name Type Code
Hawaii Advanced Imaging Institute Doing Business As Name - Organization

Office Location

Street Address 1401 S BERETANIA ST
STE. 107
City HONOLULU
State HI
Zip Code 96814-1870

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NPI Name Taxonomy Address Enumeration
1487270237 Joshua Webster Genetic Counselor, MS 1401 S Beretania St, Honolulu, HI 96814-1870 2020-06-17
1194250449 Ho'olohe Care LLC Hearing Aid Equipment 1401 S Beretania St, Ste 330, Honolulu, HI 96814-1870 2017-04-25
1902341704 Edward Nhieu Physical Therapist 1401 S Beretania St, Suite 550, Honolulu, HI 96814-1870 2017-01-03
1831632686 Zena Lia Sayuri Arii Occupational Therapist 1401 S Beretania St, Suite #730, Honolulu, HI 96814-1870 2016-11-28
1619421922 April E. Hubbard Physical Therapist 1401 S Beretania St, Suite 550, Honolulu, HI 96814-1870 2016-08-04
1770936239 Rebecca L Koval Physical Therapist 1401 S Beretania St, Suite 550, Honolulu, HI 96814-1870 2016-07-20
1679926216 Kelly M.l. Pang Physical Therapist 1401 S Beretania St, Suite 550, Honolulu, HI 96814-1870 2016-07-19
1063864742 Blayse Chun Physical Therapy Assistant 1401 S Beretania St, Suite #450, Honolulu, HI 96814-1870 2016-07-06
1659731396 Next Step Therapy LLC Physical Therapist 1401 S Beretania St, Ste. 640, Honolulu, HI 96814-1870 2016-02-23
1659746444 Gian V, Vicuna Physical Therapist 1401 S Beretania St, Suite 550, Honolulu, HI 96814-1870 2015-12-05
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881090405 Kam Diagnostic Radiology LLC Radiologic Technologist 94-239 Waipahu Depot St, Waipahu, HI 96797-3056 2014-11-10
1790180156 Corey Lynn Rowe Radiologic Technologist 94-239 Waipahu Depot St, Waipahu, HI 96797-3056 2014-10-28
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

Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

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.

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