Provider Demographics
NPI:1083905608
Name:CARIS MEDICAL, INC.
Entity Type:Organization
Organization Name:CARIS MEDICAL, INC.
Other - Org Name:MIDPAC MEDICAL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:SK
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-225-7442
Mailing Address - Street 1:501 SUMNER ST
Mailing Address - Street 2:UNIT 602
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5332
Mailing Address - Country:US
Mailing Address - Phone:808-538-3448
Mailing Address - Fax:808-538-3752
Practice Address - Street 1:501 SUMNER ST
Practice Address - Street 2:UNIT 602
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5332
Practice Address - Country:US
Practice Address - Phone:808-538-3448
Practice Address - Fax:808-538-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies