POIPU MOBILE MD
NPI 1821467796
Clinic/Center - Urgent Care in Koloa, HI
About Poipu Mobile Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POIPU MOBILE MD (NPI 1821467796) is a healthcare organization registered as an urgent care in Koloa, Hawaii and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists J Burris, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 12D2209059
Poipu MD LLC · Koloa, HIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Poipu MD, LLC's NPI number?
The NPI number for Poipu MD, LLC is 1821467796. It was assigned to this organization in the NPPES registry on September 21, 2015. The provider is doing business as Poipu Mobile MD.
Where is Poipu MD, LLC located?
Poipu MD, LLC is located at 5485 Koloa Rd Suite 1652, Koloa, HI 96756. The listed phone number is (808) 346-3324.
What is Poipu MD, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Poipu MD, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 12D2209059) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Poipu MD, LLC was last updated on June 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Poipu Mobile Md · NPI 1821467796
Urgent Care organization in Koloa, Hawaii. Organization record, active in the CMS NPPES registry since September 21, 2015.
## Identity
- **NPI:** 1821467796 (Entity type: Organization)
- **Enumerated:** September 21, 2015
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Poipu Md, Llc
- **Organization subpart:** Yes (part of Poipu Md, Llc)
- **Authorized official:** J Burris, PRESIDENT
## Practice location
- **Address:** 5485 KOLOA RD, SUITE 1652, Koloa, HI 96756-3001
- **Phone:** (808) 346-3324
## Record status
- **NPPES last updated:** June 4, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1821467796) · Data from the CMS NPPES public registry.