# HAWAII PET IMAGING, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hawaii Advanced Imaging Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902802234
- **Authorized official:** MR. SCOTT B. HALLIDAY (PRESIDENT/OWNER)
- **Authorized official phone:** (206) 272-3580

## Contact information

- **Practice address:** 1401 S BERETANIA ST, STE. 107, HONOLULU, HI 96814-1870
- **Practice address phone:** (808) 590-1504
- **Practice address fax:** (808) 591-1506
- **Mailing address:** 5001 25TH AVE NE, STE. 202, SEATTLE, WA 98105
- **Mailing address phone:** (206) 272-3580
- **Mailing address fax:** (206) 272-3588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 10667130 | HI | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 12/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 234351 | HMSA PIN | HI |
| 05 | — | 527880 | — | HI |
| 05 | — | 52788001 | — | HI |
| 01 | — | Z1625 | QUEENS/MDX PIN | HI |