Organization
HAWAII DERMATOPATHOLOGY LLC
Active
Organization
HAWAII DERMATOPATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KERSTEN REISENAUER MD (LAB DIRECTOR/OWNER)
(808) 264-2293
Entity
Organization
Contact information
Practice address
1300 N HOLOPONO ST STE 214, KIHEI, HI 96753-6945
(808) 874-3444
Mailing address
1300 N HOLOPONO ST STE 214, KIHEI, HI 96753-6945
(808) 874-3444
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
12D2120536
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12D2120536
CLIA
HI
Enumeration date
01/13/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up