Organization
ASSOCIATION OF UNIVERSITY RADIOLOGISTS PC
Active
Other names
University Radiology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W LANGENBERG (EXECUTIVE DIRECTOR)
(865) 584-7376
Entity
Organization
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-8603
Mailing address
2240 SUTHERLAND AVE STE 107, KNOXVILLE, TN 37919-2333
(865) 584-7376
(865) 540-3856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3386745
—
TN
Enumeration date
08/15/2017
Last updated
08/15/2017
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