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
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356506240
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	:	90074-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 N. 15TH AVE
Second Line	:	SUITE 101
City	:	PHOENIX
State	:	AZ
Zip	:	85015
Country	:	US
Telephone Number	:	602-274-9811
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	PATRICIA R. BLANK
Credential	:
Telephone Number	:	949-282-6000

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	11/25/2009

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Directions to “INSIGHT HEALTH CORP ” Practice Location

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