NPIMap

Organization Active NPI

Accuimaging Pearlridge, LLC

  • Diagnostic Radiology Physician
  • Aiea, HI
National Provider Identifier
1902911571
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
W95635412-01 Issued in HI
Legal business name
ACCUIMAGING PEARLRIDGE, LLC
Practice address
98-1005 Moanalua Rd
Unit 817
Aiea, HI 96701-4777
Phone
(808) 748-4080
Fax
(808) 748-4791
NPI assigned
Aug 21, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Mr. Mike Matwichyna
Title
Ceo
Phone
(808) 748-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X W95635412-01 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd
Unit 817
Aiea, HI 96701-4777

Mailing address

500 Ala Moana Blvd
Tower 4, Suite 510
Honolulu, HI 96813-4920
Phone (808) 748-4080

National Provider Directory

National Provider Directory

Locations

500 Ala Moana Blvd
Ste 510
Honolulu, HI 96813
Phone (808) 748-4713

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1902911571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "TOWER 4, SUITE 510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-748-4080",
            "fax_number": "808-748-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "address_2": "UNIT 817",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014777",
            "telephone_number": "808-748-4080",
            "fax_number": "808-748-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUIMAGING PEARLRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MATWICHYNA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-748-4771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "W95635412-01",
            "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 Sep 15, 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.