Provider Demographics
NPI:1164094108
Name:HONOLULU IMAGING CENTER, LLC
Entity Type:Organization
Organization Name:HONOLULU IMAGING CENTER, LLC
Other - Org Name:INVISION IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP & CHIEF STRATEGY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:GLADSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-535-7593
Mailing Address - Street 1:55 MERCHANT ST FL 27
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4333
Mailing Address - Country:US
Mailing Address - Phone:808-535-7721
Mailing Address - Fax:
Practice Address - Street 1:1401 S BERETANIA ST STE 107
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1871
Practice Address - Country:US
Practice Address - Phone:808-591-1504
Practice Address - Fax:808-591-1506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-10
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty