Provider Demographics
NPI:1104593334
Name:INSIGHT IMAGING & DIAGNOSTICS LLC
Entity type:Organization
Organization Name:INSIGHT IMAGING & DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-965-4965
Mailing Address - Street 1:1360 POST OAK BLVD STE 2100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3023
Mailing Address - Country:US
Mailing Address - Phone:713-965-4965
Mailing Address - Fax:866-945-9353
Practice Address - Street 1:1360 POST OAK BLVD STE 2100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3023
Practice Address - Country:US
Practice Address - Phone:713-965-4965
Practice Address - Fax:866-945-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology