Organization
VISTA RADIOLOGY, PC.
Active
Organization
VISTA RADIOLOGY, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON DAVID SHOOPMAN (VP OF FINANCE/ADMINISTRATOR)
(865) 549-5509
Entity
Organization
Contact information
Practice address
2001 LAUREL AVE STE N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
Mailing address
2001 LAUREL AVE STE N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372353
—
TN
Enumeration date
05/20/2006
Last updated
07/10/2026
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