INTELERETINA LLC (NPI# 1669989117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669989117 |
Entity Type | Organization |
Organization Name | INTELERETINA LLC |
Practice Address |
1010 S King St Ste 222 Honolulu HI 96814-1701 |
Mailing Address |
Po Box 31000 Mail Code 5769 Honolulu HI 96849-5769 |
Practice Telephone | 8082776816 |
Enumeration Date | 2018-01-05 |
Last Update Date | 2018-01-05 |
Authorized Official Name | ERIC HANNUM (PRESIDENT) |
Authorized Official Telephone | 8082776816 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
Street Address |
1010 S KING ST STE 222 |
City | HONOLULU |
State | HI |
Zip Code | 96814-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
Find all providers in zip 96814 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922585116 | S S B Mobile Diagnostic Imaging Group LLC | Physiological Laboratory | 1314 S King St Ste 723, Honolulu, HI 96814 | 2018-07-20 |
1528574100 | Insight Eeg LLC | Physiological Laboratory | 1010 S King St Ste 218a, Honolulu, HI 96814-1703 | 2017-12-19 |
1023508223 | Insight Imaging LLC | Physiological Laboratory | 500 Ala Moana Blvd Ste 5b, Honolulu, HI 96813-4981 | 2018-05-14 |
1871995092 | Neuro Connect Corp. | Physiological Laboratory | 1188 Bishop St, Suite # 607, Honolulu, HI 96813-3302 | 2014-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366550568 | Cardiopulmonary Diagnostic Services Inc | Physiological Laboratory | 94-216 Farrington Hwy, Ste B2106, Waipahu, HI 96797-1922 | 2006-08-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.