MEDICARE: INSIGHT RADIOLOGY LLC

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
1	2085R0202X	Diagnostic Radiology Physician		NJ

General Provider Information

NPI Number	:	1326049917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT RADIOLOGY LLC

Provider Business Mailing Address
First Line	:	5001 LINCOLN DR W
Second Line	:	STE F
City	:	MARLTON
State	:	NJ
Zip	:	08053-1522
Country	:	US
Telephone Number	:	856-985-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	5001 LINCOLN DR W
Second Line	:	STE F
City	:	MARLTON
State	:	NJ
Zip	:	08053-1522
Country	:	US
Telephone Number	:	856-985-2001
Fax Number	:

Authorized Official
Title or Position	:	VP OF BUSINESS DEVELOPMENT
Name	:	MICHELE DYE
Credential	:
Telephone Number	:	856-985-2001

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/21/2022

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