NPIMap

Organization Active NPI

Wailea Imaging Center

  • Radiology Clinic/Center
  • Kihei, HI
National Provider Identifier
1962885277
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
W84651925-01 Issued in HI
Legal business name
WAILEA IMAGING CENTER
Practice address
100 Wailea Ike Dr
Kihei, HI 96753-9524
Phone
(808) 677-7727
Fax
(808) 697-5488
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Binh Tu
Title
Credentialing Specialist
Phone
(808) 677-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X W84651925-01 HI Primary

Addresses

Primary practice location

100 Wailea Ike Dr
Kihei, HI 96753-9524

Mailing address

MSC 61262 PO Box 1300
Honolulu, HI 96807-1300
Phone (808) 677-7727

National Provider Directory

National Provider Directory

Locations

100 Wailea Ike Dr
Wailea, HI 96753
Phone (808) 281-6580

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1962885277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 61262 PO BOX 1300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-677-7727",
            "fax_number": "808-697-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WAILEA IKE DR",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967539524",
            "telephone_number": "808-677-7727",
            "fax_number": "808-697-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAILEA IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "BINH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "808-677-7727"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "HI",
            "license": "W84651925-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.