Provider Demographics
NPI:1497713382
Name:INSIGHT IMAGING, INC
Entity Type:Organization
Organization Name:INSIGHT IMAGING, INC
Other - Org Name:THE CENTER OF IMAGING EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BART
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEDLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-536-3550
Mailing Address - Street 1:2003A WHITESBURG DR S
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4543
Mailing Address - Country:US
Mailing Address - Phone:256-536-3550
Mailing Address - Fax:256-536-3554
Practice Address - Street 1:2003A WHITESBURG DR S
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4543
Practice Address - Country:US
Practice Address - Phone:256-536-3550
Practice Address - Fax:256-536-3554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529923970Medicaid
AL051555491Medicare PIN
ALY27384Medicare UPIN