| NPI | 1851695407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W LANGENBERG Practice Administrator 865-584-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2015-02-26 |