Healthcare Provider Details
I. General information
NPI: 1366417123
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2006
Last Update Date: 08/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1180 POST ST
SAN FRANCISCO CA
94109-5505
US
IV. Provider business mailing address
FILE 57174
LOS ANGELES CA
90074-0001
US
V. Phone/Fax
- Phone: 415-563-3133
- Fax: 415-563-1506
- Phone: 949-282-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1200X |
| Taxonomy | Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
F.
STANLEY
Title or Position: CHIEF FINANCIAL OFFICER; TREASURER
Credential:
Phone: 949-282-6000