Organization
ULTRACARE DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HAZELBAKER RDMS (OWNER)
(808) 354-3510
Entity
Organization
Contact information
Practice address
122 ONEAWA ST STE 102, KAILUA, HI 96734-2524
(808) 354-3510
Mailing address
122 ONEAWA ST STE 102, KAILUA, HI 96734-2524
(808) 354-3510
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619101
—
AK
Enumeration date
08/04/2014
Last updated
02/19/2021
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