Organization Active NPI

Maui Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Wailuku, HI
National Provider Identifier
1104003482
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MAUI DIAGNOSTIC IMAGING LLC
Practice address
99 S Market St Ste 205
Wailuku, HI 96793-2259
Phone
(808) 242-5832
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Scott B Halliday
Title
Member of Owner
Phone
(425) 637-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

99 S Market St Ste 205
Wailuku, HI 96793-2259

Mailing address

PO Box 1300
Mail Code 61059
Honolulu, HI 96807-1300
Phone (425) 635-4411

National Provider Directory

National Provider Directory

Locations

221 Piikea Ave
Ste B
Kihei, HI 96753
Phone (808) 874-9266

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1104003482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "address_2": "MAIL CODE 61059",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "425-635-4411",
            "fax_number": "425-637-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST STE 205",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932259",
            "telephone_number": "808-242-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER OF OWNER",
        "authorized_official_telephone_number": "425-637-3378"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.