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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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1470000900OTHERAZRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1790750552
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT HEALTH CORP
Provider Business Mailing Address
First Line : FILE 57174
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-7174
Country : US
Telephone Number : 949-282-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2141 E CAMELBACK RD
Second Line : STE 110
City : PHOENIX
State : AZ
Zip : 85016-4764
Country : US
Telephone Number : 602-954-0954
Fax Number : 602-954-6018
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER; TREASURER
Name : JAMES F. STANLEY
Credential :
Telephone Number : 949-282-6000
Provider Enumeration Date : 02/22/2006
Last Update Date : 12/20/2013

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Directions to “INSIGHT HEALTH CORP ” Practice Location

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