Provider Demographics
NPI:1558009480
Name:NANO KAI LLC
Entity Type:Organization
Organization Name:NANO KAI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KAMA
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:808-979-4901
Mailing Address - Street 1:74 KIHAPAI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2612
Mailing Address - Country:US
Mailing Address - Phone:808-979-4901
Mailing Address - Fax:
Practice Address - Street 1:74 KIHAPAI ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2612
Practice Address - Country:US
Practice Address - Phone:808-979-4901
Practice Address - Fax:808-374-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No305S00000XManaged Care OrganizationsPoint of Service