Provider Demographics
NPI:1245290857
Name:RADIOLOGY IMAGING ASSOCIATES OF OAK RIDGE PC
Entity type:Organization
Organization Name:RADIOLOGY IMAGING ASSOCIATES OF OAK RIDGE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRAMONTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-835-4600
Mailing Address - Street 1:PO BOX 879
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-0879
Mailing Address - Country:US
Mailing Address - Phone:866-730-5619
Mailing Address - Fax:423-698-3622
Practice Address - Street 1:990 OAK RIDGE TPKE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6976
Practice Address - Country:US
Practice Address - Phone:865-481-1162
Practice Address - Fax:865-481-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1640852OtherUHC
TN3374498Medicaid
KY65935223Medicaid
TN166689000OtherDOL
TN3374498OtherPHP/CARITEN
TN202663OtherBLSCK LUNG
TN4023259OtherBC/BS OF TN
TN3374498Medicare PIN
TN3374498OtherPHP/CARITEN