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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
3470000900OTHERAZRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1093784415
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 : 9139 W THUNDERBIRD RD
Second Line : STE 112
City : PEORIA
State : AZ
Zip : 85381-4816
Country : US
Telephone Number : 623-875-1637
Fax Number : 623-875-1935
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER; TREASURER
Name : JAMES F. STANLEY
Credential :
Telephone Number : 949-282-6000
Provider Enumeration Date : 03/16/2006
Last Update Date : 12/20/2013

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Directions to “INSIGHT HEALTH CORP ” Practice Location

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