Provider Demographics
NPI:1093784415
Name:INSIGHT HEALTH CORP
Entity Type:Organization
Organization Name:INSIGHT HEALTH CORP
Other - Org Name:INSIGHT IMAGING-WEST THUNDERBIRD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER; TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-282-6000
Mailing Address - Street 1:FILE 57174
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-7174
Mailing Address - Country:US
Mailing Address - Phone:949-282-6000
Mailing Address - Fax:
Practice Address - Street 1:9139 W THUNDERBIRD RD
Practice Address - Street 2:STE 112
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4816
Practice Address - Country:US
Practice Address - Phone:623-875-1637
Practice Address - Fax:623-875-1935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ522179Medicaid
AZ303863Medicaid
AZ470000900OtherRAILROAD MEDICARE
AZZ62285Medicare PIN