NPI 1124585336
Health Facility Laboratory
Practice location
- Address
- 229 Paoakalani Ave # 714, Honolulu, HI 96815-3764
- Phone
- (907) 786-4401
Authorised official
- Name
- Jacob Cornelius Parker
- Title
- Specialist Technologist
- Phone
- (601) 329-1321
Registered specialties (4)
Physiological Laboratory
Primary
Psychoanalysis Psychologist
Other Specialist/Technologist
Student Health Clinic/Center
Registry record
- NPI
- 1124585336
- Entity type
- Organization
- NPI issued
- 23 Feb 2019
- Record last updated
- 11 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.