State of Hawaii, Department of Health, State Laboratories Division
NPI #1538764568 in Pearl City, Hawaii
Provider Information
- NPI Number
- 1538764568
- Entity Type
- Organization
- Organization Name
- State of Hawaii, Department of Health, State Laboratories Division
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF HAWAII, DEPARTMENT OF HEALTH
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 30, 2020
- Last Updated
- Nov 30, 2020
Practice Location
- Address
- 2725 WAIMANO HOME RD
- City
- Pearl City
- State
- Hawaii
- ZIP Code
- 96782-1401
- Phone
- (808) 453-6653
Authorized Official
- Name
- DR. EDWARD DESMOND, PHD, D (ABMM)
- Title
- ADMINISTRATOR
- Phone
- (808) 453-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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