Healthcare Provider Details

I. General information

NPI: 1326245515
Provider Name (Legal Business Name): ISLAND TELEMEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4643 WAIMEA CANYON DRIVE
WAIMEA HI
96796
US

IV. Provider business mailing address

PO BOX 683
WAIMEA HI
96796-0683
US

V. Phone/Fax

Practice location:
  • Phone: 808-338-9240
  • Fax:
Mailing address:
  • Phone: 808-338-9240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License NumberMD-13919
License Number StateHI

VIII. Authorized Official

Name: DR. JAMES W MCGEE
Title or Position: RADIOLOGIST
Credential: MD
Phone: 808-338-9240