Organization
ELEVATION MEDICAL IMAGING HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN ANDRIKOPOULOS (MANAGING PARTNER)
(307) 690-1523
Entity
Organization
Contact information
Practice address
68-1820 WAIKOLOA RD STE M101M102, WAIKOLOA, HI 96738
(307) 690-1523
Mailing address
PO BOX 7377, JACKSON, WY 83002-7377
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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