Provider Demographics
NPI:1871348938
Name:S&G LABS HAWAII LLC
Entity type:Organization
Organization Name:S&G LABS HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:PUANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-329-9675
Mailing Address - Street 1:75-240 NANI KAILUA DR STE 6A
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-2074
Mailing Address - Country:US
Mailing Address - Phone:808-329-9675
Mailing Address - Fax:
Practice Address - Street 1:11 INVERNESS WAY S STE 200
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5767
Practice Address - Country:US
Practice Address - Phone:800-734-4840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory