INSIGHT IMAGING LLC (NPI# 1689669046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689669046 |
| Entity Type | Organization |
| Organization Name | INSIGHT IMAGING LLC |
| Practice Address |
6101 Carnegie Blvd Ste 355 Charlotte NC 28209-4644 |
| Practice Telephone | 7045257005 |
| Practice Fax Number | 7045256250 |
| Mailing Telephone | 7045257005 |
| Mailing Fax Number | 7045256250 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MR. RANDALL W MOUNTCASTLE (CEO) |
| Authorized Official Telephone | 7045257005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA | 2881776 | 01 |
| NC | RR MEDICARE | P00008129 | 01 |
| GA | CAHABA | 47BBBJF | 01 |
| TN | RR MEDICARE | P00228084 | 01 |
| GA | RR MEDICARE | P00345675 | 01 |
| SC | PALMETTO GBA | Q335650001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508223 | Insight Imaging LLC | Physiological Laboratory | 500 Ala Moana Blvd Ste 5b, Honolulu, HI 96813-4981 | 2018-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Insight Imaging LLC | 6101 Carnegie Blvd Suite 355, Charlotte, North Carolina 28209 |
| Street Address |
6101 CARNEGIE BLVD STE 355 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110677 | Charlotte Radiology Pa | Radiology | 1025 Morehead Medical Dr Ste 150, Charlotte, NC 28204-2973 | 2010-12-22 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| 1801097803 | Orion Imaging, LLC | Radiology | 10420 Park Rd, Ste 100, Charlotte, NC 28210-8501 | 2007-05-29 |
| 1457561912 | John D Wylie | Radiology | 3816 Latrobe Dr, Charlotte, NC 28211-1167 | 2007-05-23 |
| 1417029455 | Gregory John Duellman | Radiology | 14121 Lissadell Cir, Charlotte, NC 28277-3137 | 2006-11-14 |
| 1407926165 | Metrolina Women's Breast Center Pllc | Radiology | 439 N Wendover Road, Charlotte, NC 28211 | 2006-11-09 |
| 1932286523 | Charles Nicholas Pappas | Radiology | 609 Stockbridge Rd, Charlotte, VT 05445-9361 | 2006-11-01 |
| 1164439873 | Kenneth Fox | Radiology | 9935d Rea Rd Ste 266, Charlotte, NC 28277-6710 | 2006-08-02 |
| 1265470421 | Kevin W Carroll | Radiology | 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 | 2006-06-02 |
| 1528032604 | Diane Huntington Conley | Radiology | 3815 Stoney Ridge Trl, Charlotte, NC 28210-6932 | 2006-02-15 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.