PARADISE MOBILE IMAGING, LLC


Address: 98-500 Koauka Loop, 7f, Aiea, HI 96701-4567
Phone: 8082948970

PARADISE MOBILE IMAGING, LLC (NPI# 1730487349) 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) 1730487349
Entity Type Organization
Organization Name PARADISE MOBILE IMAGING, LLC
Practice Address 98-500 Koauka Loop
7f
Aiea
HI 96701-4567
Practice Telephone 8082948970
Practice Fax Number 8888730365
Mailing Telephone 8082948970
Mailing Fax Number 8888730365
Enumeration Date 2011-03-06
Last Update Date 2011-03-06
Authorized Official Name MS. DAVELYNN KUULEINANI SATOKO DEFRIES (OWNER / SONOGRAPHER)
Authorized Official Telephone 8082948970
Authorized Official Credential BS, RVT, RDMS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
HI Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 98-500 KOAUKA LOOP
7F
City AIEA
State HI
Zip Code 96701-4567

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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558683474 Davelynn Kuuleinani Defries Radiologic Technologist 98-500 Koauka Loop Apt 7f, Aiea, HI 96701-4590 2010-02-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265980700 Leonette Stewart Radiologic Technologist 4348 Waialae Ave # 502, Honolulu, HI 96816-5767 2016-09-13
1720240088 Terri L Foy Radiologic Technologist 2883b Kalihiwai Rd, Kilauea, HI 96754-5200 2008-06-27
1245440494 Ofelia L Loo Radiologic Technologist 94-210 Pupukahi St, Suite 102, Waipahu, HI 96797-2649 2007-05-23
1912170473 Pacific Imaging Services Radiologic Technologist 94-210 Pupukahi St, Suite # 102, Waipahu, HI 96797-2649 2008-04-05

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City AIEA
Zip Code 96701

Improve Information

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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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