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Organization
ST FRANCIS IMAGING LLC
Active
Organization
ST FRANCIS IMAGING LLC
Active
Other names
Island Imaging Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT B HALLIDAY (MEMBER OF OWNER)
(800) 362-9772
Entity
Organization
Contact information
Practice address
2230 LILIHA STREET, HONOLULU, HI 96817
(808) 547-6311
(808) 547-6053
Mailing address
PO BOX 1300, #60179, HONOLULU, HI 96807
(800) 362-9772
(425) 637-4646
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000223727
HMSA
HI
01
—
0000223727
MEDICAID HMSA QUEST
—
01
—
25073301
MEDICAID CLASS
—
05
—
25073301
—
HI
01
—
51682
MEDICARE CLASS
—
01
—
P00155239
RAILROAD MEDICARE
—
01
—
Z1520
MDX
HI
01
—
Z1520
QUEENS MDX
—
Enumeration date
05/01/2006
Last updated
08/22/2020
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