Healthcare Provider Details
I. General information
NPI: 1699485557
Provider Name (Legal Business Name): HI FREQUENCY IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2022
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 AUPUNI ST STE 220
HILO HI
96720-4246
US
IV. Provider business mailing address
101 AUPUNI ST STE 220
HILO HI
96720-4246
US
V. Phone/Fax
- Phone: 866-263-5097
- Fax: 866-263-5097
- Phone: 866-263-5097
- Fax: 866-263-5097
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
JAMPOLSKY
Title or Position: ULTRASONOGRAPHER
Credential: RDMS
Phone: 866-263-5097