Honolulu Imaging Center, LLC
Organization Active NPI Diagnostic Radiology Physician · Honolulu, HI
NPI 1164094108 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1164094108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- HONOLULU IMAGING CENTER, LLC
- Practice address
- 1401 S Beretania St Ste 107
Honolulu, HI 96814-1871 - Phone
- (808) 591-1504
- Fax
- (808) 591-1506
- NPI assigned
- Jul 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Art Gladstone
- Title
- Evp & Chief Strategy Officer
- Phone
- (808) 535-7593
Member organizations 2
Practitioners 31
-
Brent J.H. Baker, M.D.
-
Ryan Nicholas Crete, M.D.
-
Stephen M Holmes, MD
-
Kryss Y. Kojima, M.D.
-
Dane Lee, M.D.
-
Samuel T Ahn, MD
-
Ryan Lloyd Albritton, M.D.
-
Kenneth S Allison Jr., M.D.
-
John Erick Anderson, D.O.
-
Daniel Gabriel April, M.D.
-
James Owen Chang, MD
-
Rosalyn Cheng, M.D.
-
Andrew J Fisher, M.D.
-
Matthew Fleishman, M.D.
-
Jeffrey Friedland, M.D.
-
Steven G Heiss, MD
-
Orlin Hopper, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211109000768 | HI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8628467891 | Practice locations: Honolulu, HI |
| O20230906000278 | HI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8628467891 | Practice locations: Honolulu, HI |
| O20230912001243 | HI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8628467891 | Practice locations: Honolulu, HI |
National Provider Directory
Locations
55 Merchant St
Fl 27
Honolulu, HI 96813
Phone (808) 522-3882
1401 S Beretania St
Ste 107
Honolulu, HI 96814
Phone (808) 591-1504
1029 Kapahulu Ave
Ste 500
Honolulu, HI 96816
Phone (808) 447-9898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1401 S Beretania St Ste 107
Honolulu, HI 96814-1871
Mailing address
55 Merchant St FL 27
Honolulu, HI 96813-4333
Phone (808) 535-7721
Other practice location 1
500 Ala Moana Blvd Ste 5B
Honolulu, HI 96813-4981
Phone (808) 275-2008
Other practice location 2
1010 S King St Ste 109
Honolulu, HI 96814-1788
Phone (808) 593-8080
Other names
- InVision Imaging
Other providers in Honolulu, HI
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- Honolulu Endodontics, Inc.
- Honolulu Family Therapy Centre Inc.
- Honolulu Hand and Arm Rehabilitation
- Honolulu Medical & Pharmaceutical Services LLC
- Honolulu Medical Equipment & Supplies
- Honolulu Medical Group
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- Honolulu Medical Supplies
All providers in Honolulu, HI · Diagnostic Radiology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.