Insight Diagnostics LLC

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

INSIGHT DIAGNOSTICS LLC

Practice address

34434 King Street Row
Lewes, DE 19958-4987

Phone

(732) 991-6579

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jason Staback, PANPI 1750331948

Title

Ceo

Phone

(732) 991-6579

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Staback, PA-C

  • Dermatology Physician
  • Lewes, DE
  • NPI 1750331948
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1457168098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOONLIGHT DR",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221074",
            "telephone_number": "732-991-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34434 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584987",
            "telephone_number": "732-991-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "STABACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-991-6579",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Christina Ihrke, ATC
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• Kathleen Anne Infante, RN
• Interventional Cardiovascular Associates, P.a.
• Betty Ann Ippolito, RN
• Irene C. Viola, MD, PA
• Chastity Irvin
• Karen Irvin

• Clinical Laboratory Director (Non-physician) in Lewes, DE
• Providers in Lewes, DE by specialty
• Clinical Laboratory Director (Non-physician) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.