Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Waipio Clinic Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G. ADAMS JR. (EXECUTIVE DIRECTOR, FINANCE LEADER)
(808) 286-6758
Entity
Organization
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3177
(808) 432-3115
Mailing address
711 KAPIOLANI BLVD, BILLING DEPARTMENT, HONOLULU, HI 96813-5214
(808) 432-5340
(808) 432-5239
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12D1029470
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572471-01
—
HI
Enumeration date
07/31/2006
Last updated
03/13/2024
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