INTERNATIONAL LIFE SUPPORT INC
NPI 1013967769
Ambulance in Aiea, HI

Active since May 11, 2006CLIA 12D0950767 · Waiver
99-1379 KOAHA PL, AIEA, HI 96701(808) 487-4900(808) 486-1765 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Jul 16, 2024, Jun 24, 2024 and 5 more (8 updates tracked since 2019).

About International Life Support Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNATIONAL LIFE SUPPORT INC (NPI 1013967769), doing business as American Medical Response (amr), is a healthcare organization registered as an ambulance in Aiea, Hawaii and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Timothy Joseph Dorn, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1013967769
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameINTERNATIONAL LIFE SUPPORT INC
Location Address99-1379 KOAHA PLAiea, HI 96701-3269
Mailing AddressPo Box 749667Los Angeles, CA 90074-9667 · (800) 913-9106
Fax(808) 486-1765
Organization SubpartNo
Authorized OfficialTimothy Joseph DornChief Administrative Officer · (833) 703-2294
Enumeration DateMay 11, 2006
Last NPPES UpdateSeptember 15, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1013967769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
99-1379 KOAHA PL, Aiea, HI 96701

Other Names 1

Doing Business AsAmerican Medical Response (amr)

Other Identifiers 1

Medicaid008337HI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D0950767

International Life Support, Inc Dba American Medical Response · Aiea, HI
Active · expires Sep 7, 2026
CLIA Number12D0950767
Laboratory TypeAmbulance
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorDr. Dale T. Oda
Laboratory Phone(808) 487-4900
Laboratory LocationInternational Life Support, Inc Dba American Medical Response99-1379 Koaha Place, Aiea, HI 96701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
31,567 services2,198 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
804 services659 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
786 services680 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
781 services657 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
568 services505 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
48 services44 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is International Life Support Inc's NPI number?

The NPI number for International Life Support Inc is 1013967769. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as American Medical Response (AMR).

Where is International Life Support Inc located?

International Life Support Inc is located at 99-1379 Koaha Pl, Aiea, HI 96701. The listed phone number is (808) 487-4900.

What is International Life Support Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does International Life Support Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0950767) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does International Life Support Inc accept?

Health plans from HMSA list International Life Support Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for International Life Support Inc was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.