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ULTRACARE DIAGNOSTIC IMAGING LLC NPI 1558770651


NPI Information

NPI: 1558770651
Provider Name: ULTRACARE DIAGNOSTIC IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
122 ONEAWA ST STE 102
KAILUA, HI
ZIP 96734
Phone: (808) 354-3510
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ULTRACARE DIAGNOSTIC IMAGING, LLC is a radiology clinic center in Kailua, HI. ULTRACARE DIAGNOSTIC IMAGING, LLC NPI is 1558770651. The provider is registered as an organization entity type.

The provider's business location address is:

122 ONEAWA ST STE 102
KAILUA, HI
ZIP 96734-524
Phone: (808) 354-3510

The provider's authorized official is Deborah Hazelbaker .
The authorized official title is Owner and has the following contact phone number (808) 354-3510.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 2/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11619101MEDICAIDALASKA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.