NPIMap

Organization Active NPI

Maka Lab Services Company LLC

  • Technician/Technologist
  • Honolulu, HI
National Provider Identifier
1083016398
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
MAKA LAB SERVICES COMPANY LLC
Practice address
1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437
Phone
(808) 955-0255
NPI assigned
Sep 17, 2014
Organization subpart
Yes
Parent organization
RETINA INSTITUTE MANAGEMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Sibley
Title
President
Phone
(808) 955-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X Primary

Addresses

Primary practice location

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437

Mailing address

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437
Phone (808) 955-0255

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1083016398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKA LAB SERVICES COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETINA INSTITUTE MANAGEMENT INC",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "SIBLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-955-0255"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.