NPIMap

Organization Active NPI

S&G Labs Hawaii LLC

  • Clinical Medical Laboratory
  • Kailua Kona, HI
National Provider Identifier
1477925188
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
12D2098372 Issued in HI
Legal business name
S&G LABS HAWAII LLC
Practice address
75-240 Nani Kailua Dr
#6A
Kailua Kona, HI 96740-2074
Phone
(808) 315-1922
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Dr. Lynn Puana, MDNPI 1427222660
Title
Ceo
Phone
(808) 329-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 12D2098372 HI Primary

Addresses

Primary practice location

75-240 Nani Kailua Dr
#6A
Kailua Kona, HI 96740-2074

Mailing address

75-240 Nani Kailua Dr Ste 6a
Kailua Kona, HI 96740-2074
Phone (808) 934-9675

Other practice location 1

12314 Nacelle Ave
Bakersfield, CA 93312-8873
Phone (800) 734-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419002604 HI Part B Supplier - Independent Clinical Laboratory 7315245644 Practice locations: Kailua Kona, HI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

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

Locations

11 Inverness Way S
#20
Englewood, CO 80112

75-240 Nani Kailua Dr
Ste 11A
Kailua Kona, HI 96740

75-240 Nani Kailua Dr
Ste 6A
Kailua Kona, HI 96740
Phone (808) 326-9229

75-240 Nani Kailua Dr
#6A
Kailua Kona, HI 96740

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1477925188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-240 NANI KAILUA DR STE 6A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402074",
            "telephone_number": "808-934-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-240 NANI KAILUA DR",
            "address_2": "#6A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402074",
            "telephone_number": "808-315-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12314 Nacelle Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933128873",
            "country_code": "US",
            "telephone_number": "800-734-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S&G LABS HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PUANA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-329-9675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "HI",
            "license": "12D2098372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.