| NPI | 1689004285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W LANGENBERG Practice Administrator 865-584-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2025-06-16 |