Organization Active NPI

Health Facility Laboratory

  • Physiological Laboratory
  • Honolulu, HI
National Provider Identifier
1124585336
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Jacob Cornelius ParkerNPI 1326510751
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)CodeLicenseStatePrimary
Psychoanalysis PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0814X
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 identifiers 1

IdentifierTypeStateIssuer
314125401722MedicaidMS

Other names 1

  • Ultra Lab Test Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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 Laboratory5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314125401722",
            "state": "MS"
        }
    ],
    "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

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.

Verify at the official NPI Registry.