Organization
LILIHA X-RAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCITA CORDERO (MANAGER)
(808) 536-1011
Entity
Organization
Contact information
Practice address
1712 LILIHA ST, SUITE 301, HONOLULU, HI 96817-5410
(808) 536-1011
Mailing address
1712 LILIHA STREET, SUITE 301, HONOLULU, HI 96817-3100
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
M0026
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03554001
—
HI
Enumeration date
03/07/2007
Last updated
08/13/2008
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