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
—
—
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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