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A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI # | 1669989117 |
| LBN Legal business name | INTELERETINA LLC |
| Authorized official | ERIC HANNUM - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/05/2018 |
| Last updated | 01/05/2018 - About 8 years ago |
| Identifiers | n/a |
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INTELERETINA LLC
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| GABRIELA ORTIZ-OMPHROY MD LLC 98-1079 MOANALUA RD STE 680 AIEA, HI |
| SUSAN J LICOAN, PSYD 39 3301 MILO PLACE ‘O‘OKALA, HI |
| KATHERINE D PERCY, DO 1 JARRETT WHITE ROAD 1 JARRETT WHITE ROAD, HI |
| ANDREA CLAUDINE F AFABLE, M.D. UNIVERSITY OF HAWAII FAMILY MEDICINE RESIDENCY PROGRAM AEIA, HI |
| STEPHANIE KRYSTEL D CANICULA, M.D. 98-1005 MOANALUA ROAD AEIA, HI |
INTELERETINA LLC