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General NPI Number Information
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NPI Number | 1821514464
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Entity Type | Organization
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Legal Business Name | ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 444 CLINCHFIELD ST STE 201
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City | KINGSPORT
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State | TN
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Zip | 37660-3863
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Country | US
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Telephone | 423-578-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 SUTHERLAND AVE STE 107
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City | KNOXVILLE
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State | TN
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Zip | 37919-2333
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Country | US
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Telephone | 865-584-7376
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Fax | 865-540-3856
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHAEL LANGENBERG
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Credential |
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Telephone | 865-584-7376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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