Healthcare Provider Details

I. General information

NPI: 1093784415
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 12/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9139 W THUNDERBIRD RD STE 112
PEORIA AZ
85381-4816
US

IV. Provider business mailing address

FILE 57174
LOS ANGELES CA
90074-7174
US

V. Phone/Fax

Practice location:
  • Phone: 623-875-1637
  • Fax: 623-875-1935
Mailing address:
  • Phone: 949-282-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JAMES F. STANLEY
Title or Position: CHIEF FINANCIAL OFFICER; TREASURER
Credential:
Phone: 949-282-6000