PARADISE MEDICAL SERVICES LLC NPI 1124666201

NPI Information

PARADISE MEDICAL SERVICES LLC is a general practice in Wailuku, HI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PARADISE MEDICAL SERVICES LLC NPI is 1124666201. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Paradise Medical.

The provider's business location address is:

2120 KAOHU ST
WAILUKU, HI
ZIP 96793-205
Phone: (808) 377-4734
Fax: (808) 377-4734

The provider's authorized official is Jessica S B Mendonsa .
The authorized official title is Provider/llc Member and has the following contact phone number (808) 377-4734.

The CLIA number assigned to this NPI record is 12D2217372 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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