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Kaiser Foundation Health Plan INC

Clinical Medical Laboratory in Wailuku, HI. Organization (NPI-2).

NPI number1962289686
StatusActive
Last updated in NPPESSep 14, 2023

Details

NPI
1962289686
Entity type
Organization (NPI-2)
Legal business name
Kaiser Foundation Health Plan INC
Organization subpart
Yes
Enumeration date
Sep 14, 2023
Certification date
Sep 14, 2023
Last updated
Sep 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Other names

  • Mobile Health Van 1 Laboratory (Other Name)
  • Mobile Health Van 1 (Doing Business As)

Practice location

80 Mahalani St
Wailuku, HI 96793-2531

Phone 833-833-3333

Mailing address

711 Kapiolani Blvd
Honolulu, HI 96813-5237

Phone 808-432-5245

Authorized official

Dionicia A Lagapa
Vp, Ambulatory Care & Clinical Svcs
8082829989

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