PACIFIC ENDOSCOPY CENTER LLC
NPI 1417377649
Clinic/Center - Ambulatory Surgical in Hilo, HI

Active since April 28, 2014CLIA 12D0685296 · Waiver
134 PUUHONU WAY, HILO, HI 96720(808) 969-3979(808) 531-5819 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Endoscopy Center Llc NPPES

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

PACIFIC ENDOSCOPY CENTER LLC (NPI 1417377649) is a healthcare organization registered as an ambulatory surgical in Hilo, Hawaii and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Eric Boon, Officer/ao, as its authorized official.

NPPES Registry Identity

NPI1417377649
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC ENDOSCOPY CENTER LLC
Location Address134 PUUHONU WAYHilo, HI 96720-2066
Mailing Address134 Puuhonu WayHilo, HI 96720-2066
Fax(808) 531-5819
Organization SubpartNo
Authorized OfficialEric BoonOfficer/ao · (480) 567-0269
Enumeration DateApril 28, 2014
Last NPPES UpdateNovember 10, 2024
NPPES CertifiedNovember 10, 2024
NPI 1417377649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in HI · FSOF-9
134 PUUHONU WAY, Hilo, HI 96720

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 12D0685296

Pacific Endoscopy Center LLC Dba The Endoscopy Center (tec) · Hilo, HI
Active · expires Aug 31, 2026
CLIA Number12D0685296
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKristi Lopez
Laboratory Phone(808) 969-3979
Laboratory LocationPacific Endoscopy Center LLC Dba The Endoscopy Center (tec)134 Puuhonu Way, Hilo, HI 96720
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 6

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
312 services307 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
81 services80 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
66 services66 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
53 services53 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
53 services51 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
28 services28 patients

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
134 PUUHONU WAY
HILO, HI 96720
Specialist
134 PUUHONU WAY
HILO, HI 96720
Clinic/Center (Ambulatory Surgical)
134 PUUHONU WAY
HILO, HI 96720
Specialist
134 PUUHONU WAY
HILO, HI 96720
Internal Medicine (Gastroenterology)
134 PUUHONU WAY
HILO, HI 96720
Specialist
134 PUUHONU WAY
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 Pacific Endoscopy Center LLC's NPI number?

The NPI number for Pacific Endoscopy Center LLC is 1417377649. It was assigned to this organization in the NPPES registry on April 28, 2014.

Where is Pacific Endoscopy Center LLC located?

Pacific Endoscopy Center LLC is located at 134 Puuhonu Way, Hilo, HI 96720. The listed phone number is (808) 969-3979.

What is Pacific Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Pacific Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0685296) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacific Endoscopy Center LLC accept?

Health plans from HMSA list Pacific Endoscopy Center LLC 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 Pacific Endoscopy Center LLC was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.