Diagnostic Laboratory Services, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIAGNOSTIC LABORATORY SERVICES, INC

Practice address

99-859 Iwaiwa St
Aiea, HI 96701-3267

Phone

(808) 589-5107

Fax

(808) 589-5233

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Rebecca S Roberts

Title

VP Finance

Phone

(808) 589-5175

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Kuakini Development Corporation

  • Pharmacy
  • Honolulu, HI
  • NPI 1326031279

  Member Of

  NPD member
• Queen's Development Corporation & Subsidiaries

  dba Queen's POB I Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1881695476

  Member Of

  NPD member

Locations (25 of 32)

Interoperability endpoints

• Direct secure messaging: tiffany.tsark@hawaiihie.medicity.net
• Direct secure messaging: terrie.koyamatsu@hawaiihie.medicity.net

Practitioners 21

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.

• Hessam Afshari, MD

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1811217573
  NPD (past)
• Jesse Blanton, PA-C

  • Physician Assistant
  • Honolulu, HI
  • NPI 1770910705
  NPD (past)
• Suzanne M Ganote, PA

  • Medical Physician Assistant
  • Honolulu, HI
  • NPI 1801821590
  NPD (past)
• Brandi Gary, M.D.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1346416369
  NPD (past)
• Lisa Kim, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1720304819
  NPD (past)
• Wesley Kim

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1427005743
  NPD (past)
• Yeop Reeo Kim, M.D.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1134430408
  NPD (past)
• Christopher Lum

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1053358119
  NPD (past)
• Nicholas Mauricio, MD

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1184155871
  NPD (past)
• Ana M Ortega Lopez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1275748154
  NPD (past)
• Casey Marie Phan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1720421118
  NPD (past)
• Amy A Powers, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1720028269
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215930987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-859 IWAIWA ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013267",
            "telephone_number": "808-589-5107",
            "fax_number": "808-589-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-859 IWAIWA ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013267",
            "telephone_number": "808-589-5107",
            "fax_number": "808-589-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC LABORATORY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "808-589-5175"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "22053",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01999701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cobi Desilva, DNP, FNP-BC
• Nicolette Desumrak-Messina, PSY.D
• Detox Massage & Stretch Therapy LLC
• Brianna Rose Dewitt, PT, DPT
• Gita Dhir, PT
• Dialysis Newco LLC (U.S. Renal Care Pearlridge Dialysis)
• Maliah-Taylor Diaz
• Roberto Diaz, DC
• Kevin Wayne Dieffenbach, M.D.
• E'Lizibeth Diez

• Clinical Medical Laboratory in Aiea, HI
• Providers in Aiea, HI by specialty
• Clinical Medical Laboratory in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.