NPIMap

Organization Active NPI

Hawaii Pathologists' Laboratory

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
National Provider Identifier
1114915204
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
HAWAII PATHOLOGISTS' LABORATORY
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 691-4271
Fax
(808) 691-4045
NPI assigned
Oct 12, 2005
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Wesley Kim, MDNPI 1427005743
Title
Managing Partner
Phone
(808) 389-3195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

737 Bishop St Ste 2060
Honolulu, HI 96813-3214
Phone (808) 538-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000708 HI Part B Supplier - Clinic/Group Practice 4880585876 Receives reassigned benefits from 17 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory
Tax ID family
Hawaii Pathologists Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 Punchbowl St
#4
Honolulu, HI 96813
Phone (808) 691-4271

737 Bishop St
Ste 2060
Honolulu, HI 96813

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1114915204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BISHOP ST STE 2060",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133214",
            "telephone_number": "808-538-2702",
            "fax_number": "808-533-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-691-4271",
            "fax_number": "808-691-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PATHOLOGISTS' LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "808-389-3195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "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 Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.