Provider Demographics
NPI:1265490338
Name:ST FRANCIS IMAGING LLC
Entity Type:Organization
Organization Name:ST FRANCIS IMAGING LLC
Other - Org Name:ISLAND IMAGING CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER OF OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:B
Authorized Official - Last Name:HALLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-362-9772
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:#60179
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96807
Mailing Address - Country:US
Mailing Address - Phone:800-362-9772
Mailing Address - Fax:425-637-4646
Practice Address - Street 1:2230 LILIHA STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-547-6311
Practice Address - Fax:808-547-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000223727OtherMEDICAID HMSA QUEST
51682OtherMEDICARE CLASS
P00155239OtherRAILROAD MEDICARE
0000223727OtherHMSA 65C PLUS
25073301OtherMEDICAID CLASS
HI0000223727OtherHMSA
HIZ1520OtherMDX
Z1520OtherQUEENS MDX
HI25073301Medicaid
0000223727OtherMEDICAID HMSA QUEST