Healthcare Provider Details

I. General information

NPI: 1093038275
Provider Name (Legal Business Name): PACIFIC MOBILE IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S KING ST STE 218B
HONOLULU HI
96814-1703
US

IV. Provider business mailing address

1010 S KING ST STE 218B
HONOLULU HI
96814-1703
US

V. Phone/Fax

Practice location:
  • Phone: 808-748-7552
  • Fax:
Mailing address:
  • Phone: 808-748-7552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: ERIC HANNUM
Title or Position: OWNER
Credential:
Phone: 808-748-7552