Provider Demographics
NPI:1255568754
Name:MEDQUEST LLC
Entity type:Organization
Organization Name:MEDQUEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-593-9104
Mailing Address - Street 1:1296 KAPIOLANI BLVD
Mailing Address - Street 2:APT 3605
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2896
Mailing Address - Country:US
Mailing Address - Phone:917-371-3467
Mailing Address - Fax:
Practice Address - Street 1:1296 KAPIOLANI BLVD
Practice Address - Street 2:APT 3605
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2896
Practice Address - Country:US
Practice Address - Phone:917-371-3467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13384207RI0200X
HI13393207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty