Provider Demographics
NPI:1588333967
Name:INSIGHT MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:INSIGHT MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-223-8644
Mailing Address - Street 1:2239 ROOSEVELT RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-3635
Mailing Address - Country:US
Mailing Address - Phone:320-217-5400
Mailing Address - Fax:612-223-8661
Practice Address - Street 1:2239 ROOSEVELT RD STE 3
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-3635
Practice Address - Country:US
Practice Address - Phone:320-217-5400
Practice Address - Fax:612-223-8661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSIGHT MEDICAL SUPPLY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies