NPI 1760872261

Foodland Lab #38

Organisation Clinical Medical Laboratory Kamuela, HI

Practice location

Address: 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304
Phone: (808) 885-2075
Fax: (808) 885-2061

Authorised official

Name: Jaclyn Moore
Title: Lab Director
Phone: (808) 885-2075

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 14-CP1-362 (HI)

Other Clinical Medical Laboratory providers in Hawaii →

Registry record

NPI: 1760872261
Entity type: Organization
NPI issued: 4 Feb 2015
Record last updated: 4 Feb 2015

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.