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PACIFIC ENDOSCOPY CENTER, LLC
NPI 1841316841
Clinic/Center - Ambulatory Surgical in Pearl City, HI

Active since March 21, 2007CLIA 12D1073204 · Waiver
1029 MAKOLU STREET, SUITE H, PEARL CITY, HI 96782(808) 456-6420(808) 456-6421 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2025, Aug 10, 2017, Feb 17, 2016 (3 updates tracked since 2016).

About Pacific Endoscopy Center, Llc NPPES

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

PACIFIC ENDOSCOPY CENTER, LLC (NPI 1841316841) is a healthcare organization registered as an ambulatory surgical in Pearl City, Hawaii and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Eric Boon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1841316841
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC ENDOSCOPY CENTER, LLC
Location Address1029 MAKOLU STREET, SUITE HPearl City, HI 96782-2890
Mailing Address1029 Makolu St Ste HPearl City, HI 96782-2890 · (615) 345-6900
Phone(808) 456-6420
Fax(808) 456-6421
Organization SubpartNo
Authorized OfficialEric BoonAuthorized Official · (480) 567-0269
Enumeration DateMarch 21, 2007
Last NPPES UpdateJanuary 12, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2025
✔ NPI 1841316841 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 · OHCA FSOF 15
1029 MAKOLU STREET, Pearl City, HI 96782
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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 12D1073204

Pacific Endoscopy Center LLC · Pearl City, HI
Active · expires May 19, 2028
CLIA Number12D1073204
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorRobert Wong
Laboratory Phone(808) 456-6420
Laboratory LocationPacific Endoscopy Center LLC1029 Makolu St Suite H, Pearl City, HI 96782
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 10

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.
438 services432 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.
368 services367 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.
286 services275 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.
97 services97 patients
Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43252
This procedure involves using a thin, flexible instrument called an endoscope to examine the esophagus, stomach, and upper small bowel. The endoscope has a light and camera, allowing a detailed view of these areas to help diagnose various conditions.
33 services32 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.
29 services29 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 Pacific Endoscopy Center, LLC's NPI number?

The NPI number for Pacific Endoscopy Center, LLC is 1841316841. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Pacific Endoscopy Center, LLC located?

Pacific Endoscopy Center, LLC is located at 1029 Makolu Street Suite H, Pearl City, HI 96782. The listed phone number is (808) 456-6420.

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 12D1073204) is associated with this NPI, valid through May 19, 2028. 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 January 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.