| NPI | 1033250899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE LANGENBERG Practice Administrator 865-584-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-07-07 |