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STAT MOBILE DIAGNOSTIC IMAGING GROUP LLC NPI 1144820820


NPI Information

NPI: 1144820820
Provider Name: STAT MOBILE DIAGNOSTIC IMAGING GROUP LLC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
1150 S KING ST STE 901A
HONOLULU, HI
ZIP 96814
Phone: (808) 707-7201
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STAT MOBILE DIAGNOSTIC IMAGING GROUP LLC is a portable x ray and or other portable diagnostic imaging supplier in Honolulu, HI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. STAT MOBILE DIAGNOSTIC IMAGING GROUP LLC NPI is 1144820820. The provider is registered as an organization entity type.

The provider's business location address is:

1150 S KING ST STE 901A
HONOLULU, HI
ZIP 96814-953
Phone: (808) 707-7201
Fax: (888) 855-5723

The provider's authorized official is Yanet Beron .
The authorized official title is President and has the following contact phone number (754) 777-2986.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 9/9/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryNo
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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