| Ultra Lab Test | |
|
229 Paoakalani Ave # 714 Honolulu HI 96815-3764 | |
| (907) 786-4401 | |
| Not Available |
| Full Name | Ultra Lab Test |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 229 Paoakalani Ave # 714, Honolulu, Hawaii |
| Authorized Official Name and Position | Jacob Cornelius Parker (SPECIALIST TECHNOLOGIST) |
| Authorized Official Contact | 6013291321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Lab Test 229 Paoakalani Ave # 714 Honolulu HI 96815-3764 Ph: (601) 299-8067 | Ultra Lab Test 229 Paoakalani Ave # 714 Honolulu HI 96815-3764 Ph: (907) 786-4401 |
| NPI Number | 1124585336 |
|---|---|
| Provider Enumeration Date | 02/23/2019 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124585336 | NPI | - | NPPES |
| 314125401722 | Medicaid | MS |
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