Provider Demographics
NPI:1255664496
Name:SURGICAL INSIGHT, LLC
Entity Type:Organization
Organization Name:SURGICAL INSIGHT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:MISCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-885-2004
Mailing Address - Street 1:2864 LIMEKILN PIKE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-2234
Mailing Address - Country:US
Mailing Address - Phone:215-885-2004
Mailing Address - Fax:
Practice Address - Street 1:2864 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-2234
Practice Address - Country:US
Practice Address - Phone:215-885-2004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty