Active NPI
Insight Health Corp
- Physiological Laboratory
- Mesa, AZ
National Provider Identifier
1376512798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- INSIGHT HEALTH CORP
- Practice address
- 1940 S Country Club Dr
Ste 101
Mesa, AZ 85210-6008 - Phone
- (480) 730-5300
- Fax
- (480) 756-2440
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James F. Stanley
- Title
- Chief Financial Officer; Treasurer
- Phone
- (949) 282-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
1940 S Country Club Dr
Ste 101
Mesa, AZ 85210-6008
Mailing address
File 57174
Los Angeles, CA 90074-7174
Phone (949) 282-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303824 | Medicaid | AZ | |
| 470000900 | Other | AZ | RAILROAD MEDICARE |
| 522179 | Medicaid | AZ |
Other names 1
- INSIGHT IMAGING - Country Club
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387497600000",
"number": "1376512798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57174",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747174",
"telephone_number": "949-282-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 S COUNTRY CLUB DR",
"address_2": "STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852106008",
"telephone_number": "480-730-5300",
"fax_number": "480-756-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT HEALTH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-16",
"last_updated": "2013-12-20",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER; TREASURER",
"authorized_official_telephone_number": "949-282-6000"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303824",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "470000900",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522179",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INSIGHT IMAGING - Country Club",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.