Organization
INSIGHT DIAGNOSTIC IMAGING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R BLACK DO (MEDICAL DIRECTOR)
(208) 773-6400
Entity
Organization
Contact information
Practice address
3911 CASTLEVALE RD, SUITE 305, YAKIMA, WA 98902-7807
(509) 457-4210
(509) 457-4215
Mailing address
PO BOX 758, POST FALLS, ID 83877-0758
(208) 773-6400
(208) 773-6800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
ID
207U00000X
Nuclear Medicine Physician
Primary
—
ID
Other
Enumeration date
09/01/2006
Last updated
01/14/2009
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