808 Lab Test

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

808 LAB TEST

Practice address

80 Pakana St
Wailuku, HI 96793-8360

Phone

(808) 808-5227

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Grossman, MDNPI 1124537634

Title

Chief Medical Officer

Phone

(808) 808-5227

Specialties & licenses 2

Addresses

Locations

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.

• Aaron Gabriel Grossman, MD

  • General Practice Physician
  • Pompano Beach, FL
  • NPI 1124537634
  NPD Authorized official

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1346012820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NAELE RD # CTG",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908750",
            "telephone_number": "808-808-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PAKANA ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967938360",
            "telephone_number": "808-808-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Beretania St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141871",
            "country_code": "US",
            "telephone_number": "808-808-5227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "808 LAB TEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "808-808-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jansen Chase Domingo Aceret
• Nicole Lamug Aceret
• Damon Lee Ackerman, M.A.
• Bettina Ackermann, MD
• William Adler, M.D.

• Clinical Pathology/Laboratory Medicine Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.