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General NPI Number Information
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NPI Number | 1083004790
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Entity Type | Organization
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Legal Business Name | INSIGHT DIAGNOSTICS, INC
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 2301 E PRIEN LAKE RD
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City | LAKE CHARLES
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State | LA
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Zip | 70601-7976
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Country | US
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Telephone | 800-310-7581
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Fax | 800-370-7318
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Provider Business Mailing Address
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Address Line | 2301 E PRIEN LAKE RD
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City | LAKE CHARLES
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State | LA
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Zip | 70601-7976
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Country | US
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Telephone | 800-310-7581
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Fax | 800-370-7318
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | BRIAN AUSTIN
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Credential | DC
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Telephone | 619-920-8579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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