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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1699740449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT HEALTH CORP

Provider Business Mailing Address
First Line	:	26250 ENTERPRISE CT
Second Line	:	STE 100
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-8406
Country	:	US
Telephone Number	:	949-282-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	12021 WILMINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3019
Country	:	US
Telephone Number	:	310-668-5970
Fax Number	:	310-223-1095

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER; TREASURER
Name	:	JAMES S. STANLEY
Credential	:
Telephone Number	:	949-282-6000

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	08/17/2012

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Directions to “INSIGHT HEALTH CORP ” Practice Location

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