Healthcare Provider Details

I. General information

NPI: 1316268030
Provider Name (Legal Business Name): INSIGHT HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S TELSHOR BLVD
LAS CRUCES NM
88011-5071
US

IV. Provider business mailing address

FILE 57174
LOS ANGELES CA
90074-7174
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-6236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA R. BLANK
Title or Position: EVP, BUSINESS PROCESS MANAGEMENT
Credential:
Phone: 949-282-6000