Organization Active NPI

Liliha X-Ray Services

  • Radiologic Technologist
  • Honolulu, HI
National Provider Identifier
1629108477
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
M0026 Issued in HI
Legal business name
LILIHA X-RAY SERVICES
Practice address
1712 Liliha St
Suite 301
Honolulu, HI 96817-5410
Phone
(808) 536-1011
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Lucita Cordero
Title
Manager
Phone
(808) 536-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X M0026 HI Primary

Addresses

Primary practice location

1712 Liliha St
Suite 301
Honolulu, HI 96817-5410

Mailing address

1712 Liliha Street
Suite 301
Honolulu, HI 96817-3100

Other identifiers 1

IdentifierTypeStateIssuer
03554001MedicaidHI

National Provider Directory

National Provider Directory

Locations

1712 Liliha St
Ste 301
Honolulu, HI 96817
Phone (808) 536-1011

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1629108477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA STREET",
            "address_2": "SUITE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-536-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIHA X-RAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "LUCITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-536-1011"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "HI",
            "license": "M0026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03554001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.