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NPI Code Detail

MEDICARE: INSIGHT HEALTH CORP

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
1293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1679522643
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 : 6857 S PULASKI RD
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4151
Country : US
Telephone Number : 773-918-6477
Fax Number : 773-918-6558
Authorized Official
Title or Position : SENRIO V.P. & CHIEF ACCOUNTING OFCR
Name : MR. BRIAN G DRAZBA
Credential :
Telephone Number : 949-282-6000
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/12/2007

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Directions to “INSIGHT HEALTH CORP ” Practice Location

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