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NPI Code Detail

MEDICARE: CLINICAL LABORATORIES OF HAWAII LLP

MEDICARE: CLINICAL LABORATORIES OF HAWAII LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100T0234082OTHERHIHMSA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134195357
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICAL LABORATORIES OF HAWAII LLP
Provider Business Mailing Address
First Line : 33 LANIHULI ST
Second Line :
City : HILO
State : HI
Zip : 96720-4142
Country : US
Telephone Number : 808-935-4814
Fax Number : 808-935-2518
Provider Business Practice Location Address
First Line : 91-2135 FORT WEAVER RD
Second Line : SUITE 300
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-677-7999
Fax Number : 808-677-0429
Authorized Official
Title or Position : CEO
Name : MS. ALYSSA PARK
Credential :
Telephone Number : 808-677-7999
Provider Enumeration Date : 02/27/2006
Last Update Date : 02/26/2009

Similar Medicare Providers

1871534321 — DAVID SCOTT MCCAFFREY M.D.
Practice Location Address:
91-2135 FORT WEAVER RD , SUITE 170
EWA BEACH, HI
96706-1940
Practice Phone: 808-676-5331
Practice Fax: 808-671-2931
1982780367 — DR. TAI-YUAN DAVID LIN MD
Practice Location Address:
91-2135 FORT WEAVER RD , #300
EWA BEACH, HI
96706-1940
Practice Phone: 808-677-6218
Practice Fax: 808-677-4078
1649338294 — EVA SHEAR PA-C
Practice Location Address:
91-2135 FORT WEAVER RD , SUITE 170
EWA BEACH, HI
96706-1940
Practice Phone: 808-676-5331
Practice Fax: 808-671-2931
1184779217 — CARL F HODEL M.D.
Practice Location Address:
91-2135 FORT WEAVER RD , SUITE 170
EWA BEACH, HI
96706-1940
Practice Phone: 808-676-5331
Practice Fax: 808-671-2931
1992840979 — BETH A ALLISON NP
Practice Location Address:
91-2135 FORT WEAVER RD FL 3
EWA BEACH, HI
96706-1940
Practice Phone: 808-691-3352
Practice Fax:
1477682805 — DR. KENNETH C. PUGH PH.D.
Practice Location Address:
91-2135 FORT WEAVER RD FL 3
EWA BEACH, HI
96706-1940
Practice Phone: 808-691-3352
Practice Fax: 808-691-3355

Directions to “CLINICAL LABORATORIES OF HAWAII LLP ” Practice Location

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