PM Radiology PL

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PM RADIOLOGY PL

Doing business as

Gateway EmUrgent Care at MCER

Practice address

23607 US Highway 27
Lake Wales, FL 33859-6305

Phone

(727) 522-1061

Fax

(727) 528-7916

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Gagandeep Singh Mangat, MD

Title

Managing Member/President

Phone

(727) 522-1061

Specialties & licenses 1

Addresses

Other names 1

• Gateway EmUrgent Care at MCER Doing business as

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1043603608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813534",
            "telephone_number": "727-522-1061",
            "fax_number": "727-528-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23607 US HIGHWAY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338596305",
            "telephone_number": "727-522-1061",
            "fax_number": "727-528-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM RADIOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MANAGING MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "727-522-1061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway EmUrgent Care at MCER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yosmila Pinerez, RBT
• Sudhakar Pinnamaneni
• Breasia Pipkin
• Stephen J Plumb, D.O.
• PM Radiology P L (Gateway Radiology at MCER)
• Podiatry Center PA
• Polk Rehabilitation Inc
• Polk Rehabilitation Inc
• Eliany Ponce Benitez
• Carmen Del Rosario Ponce de Leon Rodriguez

• Urgent Care Clinic/Center in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.