Association of University Radiologists, PC
Organization Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1851695407 · NPPES record last updated Feb 26, 2015
Key facts
- NPI
- 1851695407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC
- Practice address
- 1415 Old Weisgarber Rd
Ste 150
Knoxville, TN 37909-1327 - Phone
- (865) 692-9964
- Fax
- (865) 934-0944
- NPI assigned
- Dec 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael W Langenberg
- Title
- Practice Administrator
- Phone
- (865) 584-7376
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 13
Practitioners 3
-
Mohammed Imran Quraishi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040721001489 | TN | Part B Supplier - Clinic/Group Practice | 0749269785 |
Receives reassigned benefits from 39 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Talbott, TN; Sevierville, TN; Lenoir City, TN; Knoxville, TN; Jamestown, TN |
National Provider Directory
- Tax ID family
- Association of University Radiologists PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician |
207U00000X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1415 Old Weisgarber Rd
Ste 150
Knoxville, TN 37909-1327
Mailing address
5401 Kingston Pike
Ste 540
Knoxville, TN 37919-5022
Phone (865) 584-7376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3386745 | Medicaid | TN |
Other names
- University Radiology
Other providers in Knoxville, TN
- Association of University Radiologists, PC
- Association of University Radiologists, PC
- Association of University Radiologists, PC
- Association of University Radiologists, PC
- Association of University Radiologists, PC
- Association of University Radiologists, PC
- Association of University Radioloigsts
- Astraea Rising Mental Wellness PLLC
- At Home Healthcare of Northeastern Tennessee
- At Home Healthcare of Virginia
All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.