Provider Demographics
NPI:1588030514
Name:INSIGHT LABS, LLC
Entity Type:Organization
Organization Name:INSIGHT LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-475-2423
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0232
Mailing Address - Country:US
Mailing Address - Phone:720-548-3334
Mailing Address - Fax:720-548-3339
Practice Address - Street 1:651 CORPORATE CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5651
Practice Address - Country:US
Practice Address - Phone:720-548-3334
Practice Address - Fax:720-548-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory