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NPI Code Detail

MEDICARE: HAWAII PATHOLOGISTS' LABORATORY

MEDICARE: HAWAII PATHOLOGISTS' LABORATORY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1114915204
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAWAII PATHOLOGISTS' LABORATORY
Provider Business Mailing Address
First Line : 737 BISHOP ST STE 2060
Second Line :
City : HONOLULU
State : HI
Zip : 96813-3214
Country : US
Telephone Number : 808-538-2702
Fax Number : 808-533-4008
Provider Business Practice Location Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2402
Country : US
Telephone Number : 808-691-4271
Fax Number : 808-691-4045
Authorized Official
Title or Position : MANAGING PARTNER
Name : WESLEY KIM
Credential : MD
Telephone Number : 808-389-3195
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/10/2024

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Directions to “HAWAII PATHOLOGISTS' LABORATORY ” Practice Location

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