Basic Information
Provider Information | |||||||||
NPI: | 1144299306 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | INSIGHT HEALTH CORP | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | THE IMAGING CENTER OF MURFREESBORO | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 404166 | ||||||||
Address2: |   | ||||||||
City: | ATLANTA | ||||||||
State: | GA | ||||||||
PostalCode: | 303844166 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9492826000 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 1001 N HIGHLAND AVE | ||||||||
Address2: |   | ||||||||
City: | MURFREESBORO | ||||||||
State: | TN | ||||||||
PostalCode: | 371302450 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6158908999 | ||||||||
FaxNumber: | 6158936812 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/17/2006 | ||||||||
LastUpdateDate: | 08/20/2012 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | STANLEY | ||||||||
AuthorizedOfficialFirstName: | JAMES | ||||||||
AuthorizedOfficialMiddleName: | F. | ||||||||
AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER; TREASURER | ||||||||
AuthorizedOfficialTelephone: | 9492826000 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 293D00000X |   |   | Y |   | Laboratories | Physiological Laboratory |   |
ID Information
ID | Type | State | Issuer | Description | 142677XX | 01 | TN | PREFERRED CARE | OTHER | 1301417 | 01 | TN | HEALTHSPRING | OTHER | 3790235 | 05 | TN |   | MEDICAID | 3193546 | 01 | TN | XANTUS | OTHER | 16-40336 | 01 | TN | UNITED HEALTHCARE | OTHER | 244522748 | 01 | TN | U.S. DEPT OF LABOR OWCP | OTHER | 3193545 | 01 | TN | ACCESS MED-PLUS | OTHER | 470000899 | 01 | TN | PALMETTO GBA (RAILROAD) | OTHER | UCA0191 | 01 | TN | UNIVERSAL CARE | OTHER | 900131102001 | 01 | TN | MEDFOCUS | OTHER | TN0103 | 01 | TN | JOHN DEERE | OTHER | 0694742 | 01 | TN | AETNA | OTHER | 470000899 | 01 | TN | RAILROAD MEDICARE | OTHER |