Organization
ASSOCIATION OF UNIVERSITY RADIOLOIGSTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WAYNE LANGENBERG (PRACTICE ADMINISTRATOR)
(865) 584-7376
Entity
Organization
Contact information
Practice address
1926 ALCOA HWY, STE 120, KNOXVILLE, TN 37920-1545
(865) 584-7376
(865) 305-8869
Mailing address
2240 SUTHERLAND AVE, STE 107, KNOXVILLE, TN 37919
(865) 584-7376
(865) 540-3856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3386745
—
TN
Enumeration date
02/12/2007
Last updated
06/16/2025
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