Provider Demographics
NPI:1326316977
Name:KAHANA KAI LLC
Entity Type:Organization
Organization Name:KAHANA KAI LLC
Other - Org Name:ALOHA MOBILE IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:I
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:808-391-5582
Mailing Address - Street 1:7192 KALANIANAOLE HWY STE A143A209
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1800
Mailing Address - Country:US
Mailing Address - Phone:808-391-5582
Mailing Address - Fax:
Practice Address - Street 1:403 KAWAIHAE ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1206
Practice Address - Country:US
Practice Address - Phone:808-391-5582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIR-2222335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier