Organization · NPI-2
808 Lab Test
Pathology, Clinical Pathology/Laboratory Medicine · Wailuku, HI
NPI number1346012820
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1346012820
- Entity type
- Organization (NPI-2)
- Legal business name
- 808 Lab Test
- Organization subpart
- No
- Enumeration date
- Oct 26, 2023
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
80 Pakana StWailuku, HI 96793-8360
Phone 808-808-5227
Mailing address
333 Naele Rd # CtgKula, HI 96790-8750
Phone 808-808-5227
Other practice locations
1401 S Beretania St Ste 103
Honolulu, HI 96814-1871
Honolulu, HI 96814-1871
Phone 808-808-5227
Authorized official
Aaron Grossman
Chief Medical Officer
8088085227
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