Organization
MAUI DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT B HALLIDAY (MEMBER OF OWNER)
(425) 637-3378
Entity
Organization
Contact information
Practice address
53 PUUNENE AVE, STE 115, KAHULUI, HI 96732
(808) 877-6402
(808) 871-5587
Mailing address
PO BOX 1300, MAIL CODE 61059, HONOLULU, HI 96807-1300
(425) 635-4411
(425) 637-4646
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200997
DEPT OF L & I
WA
Enumeration date
05/03/2006
Last updated
01/29/2008
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