NPI 1144815655 · live from the CMS NPI Registry
Mountain Radiology, INC
Radiology, Diagnostic Radiology in Lahaina, HI. National Provider Identifier 1144815655, active.
NPI record
| NPI | 1144815655 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 130 Kahoma Village Loop, Lahaina, HI 96761 |
| Practice phone | 970-945-7564 |
| Mailing address | Po Box 85500, Chicago, IL 60689 |
| Enumerated | March 5, 2021 |
| Last updated | March 26, 2026 |
| Authorized official | Karen Vaughn, Ao |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.