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General NPI Number Information
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NPI Number | 1093038275
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Entity Type | Organization
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Legal Business Name | PACIFIC MOBILE IMAGING LLC
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1010 S KING ST STE 218B
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City | HONOLULU
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State | HI
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Zip | 96814-1703
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Country | US
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Telephone | 808-748-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 S KING ST STE 218B
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City | HONOLULU
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State | HI
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Zip | 96814-1703
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Country | US
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Telephone | 808-748-7552
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC HANNUM
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Credential |
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Telephone | 808-748-7552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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