Healthcare Provider Details

I. General information

NPI: 1023508223
Provider Name (Legal Business Name): INSIGHT IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 5B
HONOLULU HI
96813-4981
US

IV. Provider business mailing address

PO BOX 31000
HONOLULU HI
96849-5773
US

V. Phone/Fax

Practice location:
  • Phone: 808-275-2008
  • Fax: 808-275-2009
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANTONY CLARKE
Title or Position: MBR
Credential:
Phone: 808-275-2008