Organization
RADIATION THERAPY ASSOCIATES PC
Active
Other names
CLEVELAND REGIONAL CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA JUNE VIROSTEK MD (PRESIDENT)
(423) 472-2171
Entity
Organization
Contact information
Practice address
2620 PEERLESS RD NW, CLEVELAND, TN 37312-3732
(423) 472-2171
(423) 472-0060
Mailing address
2620 PEERLESS RD NW, CLEVELAND, TN 37312-3732
(423) 472-2171
(423) 472-0060
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
A0602A2
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3383564
—
TN
Enumeration date
09/21/2006
Last updated
06/22/2016
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