State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

FREE-STANDING X-RAY FACILITY

HAWAII:

NUMBER	FACILITY	LOCATION
1	ALOHA MOBILE IMAGING 1502 Pensacola Street, Suite B1 Honolulu, Hawaii 96822 Ph. (808) 271-5691 Mahlon F. Harris Sole Proprietor Provider No. 12-X0009803	OAHU
2	PACIFIC MOBILE IMAGING, LLC 1380 Lusitana Street, Second Floor Honolulu, Hawaii 96813 Ph: (808) 599-4471 Richard DeJournett, M.D. President Provider No. 12-X0009801	OAHU

OHCA/Medicare February 10, 2011 ps