Organization Active NPI

Insight Imaging LLC

Doing business as Videre Diagnostics

  • Diagnostic Radiology Physician
  • Huntersville, NC
National Provider Identifier
1689669046
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INSIGHT IMAGING LLC
Doing business as
Videre Diagnostics
Practice address
9930 Kincey Ave Ste 110
Huntersville, NC 28078-6541
Phone
(704) 525-7005
Fax
(704) 525-6250
NPI assigned
Sep 13, 2005
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Mr. Daniel P BouknightNPI 1427057009
Title
Ceo
Phone
(704) 525-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

9930 Kincey Ave Ste 110
Huntersville, NC 28078-6541

Mailing address

9930 Kincey Ave Ste 110
Huntersville, NC 28078-6541
Phone (704) 525-7005

Other identifiers 6

IdentifierTypeStateIssuer
2881776OtherNCCIGNA
P00228084OtherTNRR MEDICARE
P00345675OtherGARR MEDICARE
47BBBJFOtherGACAHABA
P00008129OtherNCRR MEDICARE
Q335650001OtherSCPALMETTO GBA

Other names 1

  • Videre Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, TN, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040318000026 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062302516 Practice locations: Huntersville, NC
O20040625000092 SC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062302516 Practice locations: Irmo, SC
O20041022000135 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062302516 Practice locations: Chattanooga, TN; Huntersville, NC
O20050314000532 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2062302516 Practice locations: Ringgold, GA; Huntersville, NC

National Provider Directory

National Provider Directory

Locations

132 Battlefield Crossing Ct
Ste 355
Ringgold, GA 30736
Phone 7045257005240

201 S Tryon St
Ste 800
Charlotte, NC 28202
Phone (704) 525-7005

1901 Roxborough Rd
Ste 200
Charlotte, NC 28211
Phone (704) 525-7005

6101 Carnegie Blvd
Ste 355
Charlotte, NC 28209

9930 Kincey Ave
Ste 110
Huntersville, NC 28078
Phone (704) 525-7005

1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-2395

186 Hospital Rd
Ste 500
Winchester, TN 37398
Phone (615) 967-5646

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1689669046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 110",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "704-525-7005",
            "fax_number": "704-525-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 110",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "704-525-7005",
            "fax_number": "704-525-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BOUKNIGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-525-7005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2881776",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00228084",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00345675",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA",
            "identifier": "47BBBJF",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00008129",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "Q335650001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Videre Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Videre Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.