HILO URGENT CARE, LLC
NPI 1225385347
Nurse Practitioner - Family in Hilo, HI

Active since August 08, 2012CLIA 12D1000215 · Waiver

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hilo Urgent Care, Llc NPPES

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

HILO URGENT CARE, LLC (NPI 1225385347) is a healthcare organization registered as a family in Hilo, Hawaii and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Raquel Ann Boromeo, Billing And Credentialing, as its authorized official.

NPPES Registry Identity

NPI1225385347
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHILO URGENT CARE, LLC
Location Address45 MOHOULI STHilo, HI 96720-7210
Mailing Address45 Mohouli StHilo, HI 96720-7210 · (808) 969-3051
Organization SubpartNo
Authorized OfficialRaquel Ann BoromeoBilling And Credentialing · (808) 969-3051
Enumeration DateAugust 8, 2012
Last NPPES UpdateJuly 17, 2017
NPI 1225385347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in HI · APRN1450
45 MOHOULI ST, Hilo, HI 96720

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 12D1000215

Hilo Urgent Care Center · Hilo, HI
Active · expires Jun 4, 2028
CLIA Number12D1000215
Laboratory TypeUrgent Care
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorEdward Gutteling
Laboratory Phone(808) 969-3051
Laboratory LocationHilo Urgent Care Center670 Kekuanaoa Street, Hilo, HI 96720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
45 MOHOULI ST
HILO, HI 96720
Clinic/Center (Medical Specialty)
45 MOHOULI ST
HILO, HI 96720
Nurse Practitioner (Pediatrics)
45 MOHOULI ST
HILO, HI 96720
General Practice
45 MOHOULI ST
HILO, HI 96720
Student in an Organized Health Care Education/Training Program
45 MOHOULI ST, HAWAII ISLAND FAMILY MEDICINE RESIDENCY
HILO, HI 96720
Nurse Practitioner (Family)
45 MOHOULI ST
HILO, HI 96720
Clinic/Center (VA)
45 MOHOULI ST
HILO, HI 96720
Nurse Practitioner (Family)
45 MOHOULI ST
HILO, HI 96720

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 Hilo Urgent Care, LLC's NPI number?

The NPI number for Hilo Urgent Care, LLC is 1225385347. It was assigned to this organization in the NPPES registry on August 8, 2012.

Where is Hilo Urgent Care, LLC located?

Hilo Urgent Care, LLC is located at 45 Mohouli St, Hilo, HI 96720. The listed phone number is (808) 969-3051.

What is Hilo Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Hilo Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D1000215) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hilo Urgent Care, LLC was last updated on July 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.