Hawaii Pet Imaging, LLC.

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

10667130 Issued in HI

Legal business name

HAWAII PET IMAGING, LLC.

Doing business as

Hawaii Advanced Imaging Institute

Practice address

1401 S Beretania St
Ste. 107
Honolulu, HI 96814-1870

Phone

(808) 590-1504

Fax

(808) 591-1506

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Scott B. Halliday

Title

President/Owner

Phone

(206) 272-3580

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hawaii Advanced Imaging Institute Doing business as

Locations

Interoperability endpoints

• Direct secure messaging: robert.duong@hawaiihie.medicity.net

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1902802234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 25TH AVE NE",
            "address_2": "STE. 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-272-3580",
            "fax_number": "206-272-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "STE. 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-590-1504",
            "fax_number": "808-591-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PET IMAGING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "206-272-3580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "HI",
            "license": "10667130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PIN",
            "identifier": "234351",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52788001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS/MDX PIN",
            "identifier": "Z1625",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527880",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Advanced Imaging Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hawaii Pet Imaging LLC (Hawaii Advanced Imaging Institute)
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• Hawaii PM&R
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• Hawaii Primary Care Association
• Hawaii Professional Audiology, LLC

• Radiologic Technologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Radiologic Technologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.