MEDICARE: 1 INSIGHT INC.

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	2472E0500X	EEG Technician

General Provider Information

NPI Number	:	1568214435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 INSIGHT INC.

Provider Business Mailing Address
First Line	:	12232 SEA VOYAGE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-4606
Country	:	US
Telephone Number	:	725-529-0316
Fax Number	:

Provider Business Practice Location Address
First Line	:	12232 SEA VOYAGE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-4606
Country	:	US
Telephone Number	:	725-529-0316
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ROWELL V LAINO
Credential	:
Telephone Number	:	725-529-0316

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	04/21/2024

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Directions to “1 INSIGHT INC. ” Practice Location

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