| NPI | 1679614440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LANGENBERG Practice Administrator 865-584-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-06-16 |