MEDICARE: INSIGHT HEALTH CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1033233036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT HEALTH CORP

Provider Business Mailing Address
First Line	:	26250 ENTERPRISE CT
Second Line	:	STE 100
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-8406
Country	:	US
Telephone Number	:	949-282-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1199 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4102
Country	:	US
Telephone Number	:	817-335-9729
Fax Number	:	817-870-9950

Authorized Official
Title or Position	:	SENIOR VP & CHIEF ACCOUNTING OFCR
Name	:	BRIAN G DRAZBA
Credential	:
Telephone Number	:	949-282-6000

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	08/22/2020

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Directions to “INSIGHT HEALTH CORP ” Practice Location

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