NPI 1104003482 · live from the CMS NPI Registry
Maui Diagnostic Imaging LLC
Radiology, Diagnostic Radiology in Wailuku, HI. National Provider Identifier 1104003482, active.
NPI record
| NPI | 1104003482 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 99 S Market St Ste 205, Wailuku, HI 96793 |
| Practice phone | 808-242-5832 |
| Mailing address | Po Box 1300, Mail Code 61059, Honolulu, HI 96807 |
| Enumerated | January 29, 2008 |
| Last updated | January 29, 2008 |
| Authorized official | Scott Halliday, Member Of Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.