Organization Active NPI

Paradise Mobile Imaging, LLC

  • Sonography Radiologic Technologist
  • Aiea, HI
National Provider Identifier
1730487349
Registry record updated Mar 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
PARADISE MOBILE IMAGING, LLC
Practice address
98-500 Koauka Loop
7F
Aiea, HI 96701-4567
Phone
(808) 294-8970
Fax
(888) 873-0365
NPI assigned
Mar 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2011

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

Authorized official

Name
Ms. Davelynn Kuuleinani Satoko Defries, BS, RVT, RDMSNPI 1558683474
Title
Owner / Sonographer
Phone
(808) 294-8970

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
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X HI Primary

Addresses

Primary practice location

98-500 Koauka Loop
7F
Aiea, HI 96701-4567

Mailing address

98-500 Koauka Loop
7F
Aiea, HI 96701-4567
Phone (808) 294-8970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299369600000",
    "number": "1730487349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-500 KOAUKA LOOP",
            "address_2": "7F",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014567",
            "telephone_number": "808-294-8970",
            "fax_number": "888-873-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-500 KOAUKA LOOP",
            "address_2": "7F",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014567",
            "telephone_number": "808-294-8970",
            "fax_number": "888-873-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-06",
        "last_updated": "2011-03-06",
        "status": "A",
        "authorized_official_last_name": "DEFRIES",
        "authorized_official_first_name": "DAVELYNN",
        "authorized_official_middle_name": "KUULEINANI SATOKO",
        "authorized_official_title_or_position": "OWNER / SONOGRAPHER",
        "authorized_official_telephone_number": "808-294-8970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, RVT, RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; 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.