Organization
CLINICAL LABORATORIES OF HAWAII LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSSA PARK (CEO)
(808) 677-7999
Entity
Organization
Contact information
Practice address
91-2135 FORT WEAVER RD, SUITE 300, EWA BEACH, HI 96706-1940
(808) 677-7999
(808) 677-0429
Mailing address
33 LANIHULI ST, HILO, HI 96720-4142
(808) 935-4814
(808) 935-2518
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052058701
—
HI
01
—
00T0234082
HMSA
HI
Enumeration date
02/27/2006
Last updated
02/26/2009
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