Organization
INSIGHT HEALTH CORP
Active
Other names
Jefferson Imaging-Bala
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G. DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
15 PRESIDENTIAL BLVD, STE 102, BALA CYNWYD, PA 19004-1006
(610) 664-3355
(610) 664-5266
Mailing address
26250 ENTERPRISE CT, STE 100, LAKE FOREST, CA 92630-8406
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012232280002
—
PA
Enumeration date
03/17/2006
Last updated
08/22/2020
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