MEDICARE: INSIGHT IMAGING 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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00228084	OTHER	TN	RR MEDICARE
3	P00345675	OTHER	GA	RR MEDICARE
5	P00008129	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2881776	OTHER	NC	CIGNA
4	47BBBJF	OTHER	GA	CAHABA
6	Q335650001	OTHER	SC	PALMETTO GBA

General Provider Information

NPI Number	:	1689669046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT IMAGING LLC

Provider Business Mailing Address
First Line	:	9930 KINCEY AVE STE 110
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6541
Country	:	US
Telephone Number	:	704-525-7005
Fax Number	:	704-525-6250

Provider Business Practice Location Address
First Line	:	9930 KINCEY AVE STE 110
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-6541
Country	:	US
Telephone Number	:	704-525-7005
Fax Number	:	704-525-6250

Authorized Official
Title or Position	:	CEO
Name	:	MR. DANIEL P BOUKNIGHT
Credential	:
Telephone Number	:	704-525-7005

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	07/14/2025

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Directions to “INSIGHT IMAGING LLC ” Practice Location

Language	Start Address	Practice Location

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