Healthcare Provider Details
I. General information
NPI: 1639827553
Provider Name (Legal Business Name): XCELL LABORATORIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2022
Last Update Date: 08/19/2022
Certification Date: 08/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 S KING ST STE 201
HONOLULU HI
96814-1703
US
IV. Provider business mailing address
1010 S KING ST STE 201
HONOLULU HI
96814-1703
US
V. Phone/Fax
- Phone: 808-600-5264
- Fax: 808-600-5387
- Phone: 808-600-5264
- Fax: 808-600-5387
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DENISE
W
FRANCOIS
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 210-260-9916