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 403 Kawaihae Street Honolulu, Hawaii 96825 Ph: (808) 271-5691 Fax: (808) 521-9454 Jason Kim Managing Director Provider No. 12-X0009805	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 April 3, 2013 lk