Organization
INSIGHT HEALTH CORP
Active
Other names
INSIGHT IMAGING - Country Club
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
1940 S COUNTRY CLUB DR, STE 101, MESA, AZ 85210-6008
(480) 730-5300
(480) 756-2440
Mailing address
FILE 57174, LOS ANGELES, CA 90074-7174
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303824
—
AZ
01
—
470000900
RAILROAD MEDICARE
AZ
05
—
522179
—
AZ
Enumeration date
03/16/2006
Last updated
12/20/2013
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