Organization Name: | MAUI DIAGNOSTIC IMAGING LLC |
NPI Number: | 1144487380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT B HALLIDAY (PRESIDENT OF MEMBER) |
Mailing Address: | 425 Koloa St # 102 Kahului |
State: | HI US |
Postal Code: | 967322486 |
Phone Number: | 8088739551 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2008 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |