Active NPI
Health Facility Laboratory
- Physiological Laboratory
- Honolulu, HI
National Provider Identifier
1124585336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- HEALTH FACILITY LABORATORY
- Practice address
- 229 Paoakalani Ave # 714
Honolulu, HI 96815-3764 - Phone
- (907) 786-4401
- NPI assigned
- Feb 23, 2019
- Last updated
- Nov 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Cornelius Parker
- Title
- Specialist Technologist
- Phone
- (601) 329-1321
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | |||
| Other Specialist/Technologist | 246Z00000X | |||
| Student Health Clinic/Center | 261QS1000X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
229 Paoakalani Ave # 714
Honolulu, HI 96815-3764
Mailing address
229 Paoakalani Ave # 714
Honolulu, HI 96815-3764
Phone (601) 329-1321
Other names 1
- Ultra Lab Test
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://1up.health/patient/site/index | Health Information Exchange (HIE) | |
| Other URL | https://1up.health/patient/site/index | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Health Facility Laboratory
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Honolulu, HI
- NPI 1568095503
-
- Pharmacy
- Hattiesburg, MS
- NPI 1255999835
-
- Adult Medicine Physician
- Saint Louis, MO
- NPI 1649869678
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1124585336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 PAOAKALANI AVE # 714",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968153764",
"telephone_number": "601-329-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 PAOAKALANI AVE # 714",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968153764",
"telephone_number": "907-786-4401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH FACILITY LABORATORY",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-23",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "CORNELIUS",
"authorized_official_title_or_position": "SPECIALIST TECHNOLOGIST",
"authorized_official_telephone_number": "601-329-1321"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://1up.health/patient/site/index",
"affiliation": "N",
"endpointDescription": "Dr. Parker, Jacob Cornelius, MD. Application Description EMPLOYMENT",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF, HTML",
"address_1": "229 Paoakalani Ave # 714",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968153764",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://1up.health/patient/site/index",
"affiliation": "N",
"endpointDescription": "th/patient/site/index Parker, Jacob Cornelius, Application Description EMPLOYMENT",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "229 Paoakalani Ave # 714",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968153764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ultra Lab Test",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Honolulu, HI
- Healing Hawaii Psychiatry LLC
- Healing Helpers Collective, LLC
- Healing Tides Primary Care LLC
- Healing Waters Chiropractic LLC
- Health Coach LLC
- Health in Harmony Inc
- Health Monitors Hawaii, LLP
- Health of Ohana Migration Evaluation Services (Home), LLC
- Health Readiness Resources Behavioral Health
- Health Resources, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.