NPI: 1528574100 · HONOLULU, HI 96814 · Physiological Laboratory · NPI assigned 12/19/2017
| Authorized Official | HANNUM, ERIC (OWNER) |
| NPI Enumeration Date | 12/19/2017 |
Other providers sharing the same authorized official: HANNUM, ERIC
| Provider | City | State | Total Paid |
|---|---|---|---|
| PACIFIC MOBILE IMAGING LLC | HONOLULU | HI | $287K |
| INTELERETINA PROFESSIONAL GROUP LLC | HONOLULU | HI | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 23 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95951 | 23 | 12 | $0.00 |