Provider Demographics
NPI:1659680684
Name:OHANA GENETICS INC
Entity Type:Organization
Organization Name:OHANA GENETICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONLON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:808-265-1082
Mailing Address - Street 1:350 HEMA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1835
Mailing Address - Country:US
Mailing Address - Phone:808-265-1082
Mailing Address - Fax:808-377-5949
Practice Address - Street 1:350 HEMA PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1835
Practice Address - Country:US
Practice Address - Phone:808-265-1082
Practice Address - Fax:808-377-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics