INTELERETINA LLC


Address: 1010 S King St Ste 222, Honolulu, HI 96814-1701
Phone: 8082776816

INTELERETINA LLC (NPI# 1669989117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Office Location

Street Address 1010 S KING ST STE 222
City HONOLULU
State HI
Zip Code 96814-1701

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

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.

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