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Contact Information

HAWAII PET IMAGING, LLC.
1401 S BERETANIA ST
STE. 107
HONOLULU, HI96814-1870
 Phone: 808-590-1504
 Fax: 808-591-1506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for HAWAII PET IMAGING LLC · (Female)

NPI Number 1902802234
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2005
Last updated 12/20/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • HI License # 10667130
  • HI Medicaid 527880
  • HI Medicaid 52788001
  • HI Other 234351 HMSA PIN
  • HI Other Z1625 QUEENS/MDX PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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