Consolab Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD3419 Issued in HI

Legal business name

CONSOLAB INC

Practice address

1507 S King St
Honolulu, HI 96826-1930

Phone

(808) 253-1415

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Deborah Mathias, M.D.

Title

Ceo

Phone

(808) 253-1415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1467691626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261930",
            "telephone_number": "808-253-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-253-1415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance J Conover, CNM, APRN
• Olivia Denise Conover
• Zhanna Conrad, PT
• Conscious Health and Wellness Center Inc
• Conscious Pathway Therapy Inc.
• Joseph O Consolazio III, RBT
• Celine Consoli, LMT
• Dana Constable, BCBA
• Carolyn Constantin, PHD, RNC
• Jennifer F Constantino, LMT

• General Practice Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.