NPIMap

Organization Active NPI

East Tennessee Community Open MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Knoxville, TN
National Provider Identifier
1205086790
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
ODC0000000048 Issued in TN
Legal business name
EAST TENNESSEE COMMUNITY OPEN MRI
Practice address
1415 Old Weisgarber Rd
Suite 150
Knoxville, TN 37909-1327
Phone
(865) 584-7376
Fax
(865) 684-2619
NPI assigned
Sep 22, 2008
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael W Langenberg
Title
Executive Director
Phone
(865) 584-7376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X ODC0000000048 TN Primary

Addresses

Primary practice location

1415 Old Weisgarber Rd
Suite 150
Knoxville, TN 37909-1327

Mailing address

PO Box 11664
Knoxville, TN 37939-1664
Phone (865) 584-7376

Other identifiers 1

IdentifierTypeStateIssuer
1523020MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000543 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5092867242 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

1415 Old Weisgarber Rd
#150
Knoxville, TN 37909
Phone (865) 684-2600

1415 Old Weisgarber Rd
Ste 150
Knoxville, TN 37909
Phone (865) 692-9964

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1205086790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11664",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391664",
            "telephone_number": "865-584-7376",
            "fax_number": "865-540-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD",
            "address_2": "SUITE 150",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091327",
            "telephone_number": "865-584-7376",
            "fax_number": "865-684-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE COMMUNITY OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LANGENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-584-7376"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TN",
            "license": "ODC0000000048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523020",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.