Provider Demographics
NPI:1992006720
Name:INSIGHT IMAGING INC
Entity Type:Organization
Organization Name:INSIGHT IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:AGNESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-273-2770
Mailing Address - Street 1:140 LITTON DR
Mailing Address - Street 2:SUITE #208
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5077
Mailing Address - Country:US
Mailing Address - Phone:530-273-2770
Mailing Address - Fax:530-271-3239
Practice Address - Street 1:140 LITTON DR
Practice Address - Street 2:SUITE #208
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5077
Practice Address - Country:US
Practice Address - Phone:530-273-2770
Practice Address - Fax:530-271-3239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA455122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty