Kahana Kai LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

R-2222 Issued in HI

Legal business name

KAHANA KAI LLC

Practice address

403 Kawaihae St
Honolulu, HI 96825-1206

Phone

(808) 391-5582

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jason I Kim, R.T.

Title

Managing Member

Phone

(808) 391-5582

Specialties & licenses 1

Addresses

Other names 1

• Aloha Mobile Imaging Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 12X0009805

Legal name

ALOHA MOBILE IMAGING

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Feb 1, 2013

Last certification

Feb 1, 2013

Ownership / control type

CORPORATION

Facility address

403 Kawaihae St
Honolulu, HI 96825

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1326316977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY STE A143A209",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-391-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KAWAIHAE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251206",
            "telephone_number": "808-391-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHANA KAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-391-5582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "HI",
            "license": "R-2222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.