Organization
EAST TENNESSEE DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W LANGENBERG (EXECUTIVE DIRECTOR)
(865) 584-7376
Entity
Organization
Contact information
Practice address
1415 OLD WEISGARBER RD STE 120, KNOXVILLE, TN 37909-1327
(865) 584-7376
(865) 684-2619
Mailing address
PO BOX 11664, KNOXVILLE, TN 37939-1664
(865) 584-7376
(865) 540-3856
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3791655
RAILROAD MEDICARE
—
01
—
613127900
DOL
—
Enumeration date
05/23/2006
Last updated
06/16/2025
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