VENTURE MEDICAL 21 INC
NPI 1851647952
Clinic/Center in Ewa Beach, HI

Active since July 26, 2012CLIA 12D2099343 · Waiver
91-896 MAKULE RD STE 102, EWA BEACH, HI 96706(808) 689-4414(808) 689-7115 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Venture Medical 21 Inc NPPES

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

VENTURE MEDICAL 21 INC (NPI 1851647952) is a healthcare organization registered as a clinic/center in Ewa Beach, Hawaii and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Jose D Reque, President, as its authorized official.

NPPES Registry Identity

NPI1851647952
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVENTURE MEDICAL 21 INC
Location Address91-896 MAKULE RD STE 102Ewa Beach, HI 96706-2543
Mailing Address810 Richards St Ste 990Honolulu, HI 96813-4722 · (808) 531-7878 · Fax (808) 531-7829
Fax(808) 689-7115
Organization SubpartNo
Authorized OfficialJose D RequePresident · (808) 531-7878
Enumeration DateJuly 26, 2012
Last NPPES UpdateAugust 15, 2014
NPI 1851647952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
91-896 MAKULE RD STE 102, Ewa Beach, HI 96706

Other Identifiers 1

OtherW8141213401HI · State Of Hawaii

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 12D2099343

Venture Medical 21 Inc · Ewa Beach, HI
Active · expires Jul 23, 2027
CLIA Number12D2099343
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorDr. Than Tun
Laboratory Phone(808) 689-4414
Laboratory LocationVenture Medical 21 Inc91-896 Makule Rd #102, Ewa Beach, HI 96706
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

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

Family Medicine
91-896 MAKULE RD STE 102
EWA BEACH, HI 96706

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 Venture Medical 21 Inc's NPI number?

The NPI number for Venture Medical 21 Inc is 1851647952. It was assigned to this organization in the NPPES registry on July 26, 2012.

Where is Venture Medical 21 Inc located?

Venture Medical 21 Inc is located at 91-896 Makule Rd Ste 102, Ewa Beach, HI 96706. The listed phone number is (808) 689-4414.

What is Venture Medical 21 Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Venture Medical 21 Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2099343) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Venture Medical 21 Inc accept?

Health plans from HMSA list Venture Medical 21 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 Venture Medical 21 Inc was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.