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Organization
INSIGHT HEALTH CORP
Active
Organization
INSIGHT HEALTH CORP
Active
Other names
Broad Street Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F. STANLEY (CHIEF FINANCIAL OFFICER; TREASURER)
(949) 282-6000
Entity
Organization
Contact information
Practice address
750 E BROAD ST, COLUMBUS, OH 43205-1000
(614) 621-9100
(614) 621-9107
Mailing address
PO BOX 404166, ATLANTA, GA 30384-4166
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084695
—
OH
01
—
470000888
RAILROAD MEDICARE
OH
Enumeration date
03/17/2006
Last updated
08/20/2012
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