MEDICARE: INSIGHT DIAGNSOTICS INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1689862633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT DIAGNSOTICS INC

Provider Business Mailing Address
First Line	:	3658 N RANCHO DR
Second Line	:	102
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3173
Country	:	US
Telephone Number	:	702-643-3100
Fax Number	:	702-451-1900

Provider Business Practice Location Address
First Line	:	3658 N RANCHO DR
Second Line	:	102
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3173
Country	:	US
Telephone Number	:	702-643-3100
Fax Number	:	702-451-1900

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARYROSE REASTON
Credential	:	PHD
Telephone Number	:	702-643-3100

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	10/03/2007

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Directions to “INSIGHT DIAGNSOTICS INC ” Practice Location

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