# CARDIOPULMONARY DIAGNOSTIC SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366550568
- **Authorized official:** MR. REYNOLD L MANABAT RRT CRTT (PRESIDENT)
- **Authorized official phone:** (808) 678-1422

## Contact information

- **Practice address:** 94-216 FARRINGTON HWY, STE B2106, WAIPAHU, HI 96797-1922
- **Practice address phone:** (808) 678-1422
- **Practice address fax:** (808) 678-0111
- **Mailing address:** 94-216 FARRINGTON HWY, STE B2106, WAIPAHU, HI 96797-1922
- **Mailing address phone:** (808) 678-1422
- **Mailing address fax:** (808) 678-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0230789 | HMSA | HI |
| 01 | — | 3112428 | UHA | HI |
| 05 | — | 50790701 | — | HI |