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Organization
HAWAII PET IMAGING, LLC.
Active
Organization
HAWAII PET IMAGING, LLC.
Active
Other names
Hawaii Advanced Imaging Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT B. HALLIDAY (PRESIDENT/OWNER)
(206) 272-3580
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST, STE. 107, HONOLULU, HI 96814-1870
(808) 590-1504
(808) 591-1506
Mailing address
5001 25TH AVE NE, STE. 202, SEATTLE, WA 98105
(206) 272-3580
(206) 272-3588
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
10667130
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234351
HMSA PIN
HI
05
—
527880
—
HI
05
—
52788001
—
HI
01
—
Z1625
QUEENS/MDX PIN
HI
Enumeration date
06/22/2005
Last updated
12/20/2012
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