Organization
HAWAII PET IMAGING, LLC.
Active
Other names
Hawaii Advanced Imaging Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT B. HALLIDAY (PRESIDENT/OWNER)
(206) 272-3580
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST, STE. 107, HONOLULU, HI 96814-1870
(808) 590-1504
(808) 591-1506
Mailing address
5001 25TH AVE NE, STE. 202, SEATTLE, WA 98105
(206) 272-3580
(206) 272-3588
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
10667130
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234351
HMSA PIN
HI
05
—
527880
—
HI
05
—
52788001
—
HI
01
—
Z1625
QUEENS/MDX PIN
HI
Enumeration date
06/22/2005
Last updated
12/20/2012
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