Organization
808 LAB TEST
Active
Organization
808 LAB TEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON GROSSMAN MD (CHIEF MEDICAL OFFICER)
(808) 808-5227
Entity
Organization
Contact information
Practice address
80 PAKANA ST, WAILUKU, HI 96793-8360
(808) 808-5227
Mailing address
333 NAELE RD # CTG, KULA, HI 96790-8750
(808) 808-5227
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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