PM Radiology P L

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PM RADIOLOGY P L

Doing business as

Gateway Radiology at MCER

Practice address

23607 US Highway 27
Lake Wales, FL 33859

Phone

(727) 522-1061

Fax

(727) 528-7916

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Gagandeep S Mangat, M.D.

Title

President

Phone

(727) 522-1061

Specialties & licenses 1

Addresses

Other names 1

• Gateway Radiology at MCER Doing business as

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1740699982",
    "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": "33859",
            "telephone_number": "727-522-1061",
            "fax_number": "727-528-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM RADIOLOGY P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-522-1061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Radiology at MCER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Edward Pilkington, MD
• Yosmila Pinerez, RBT
• Sudhakar Pinnamaneni
• Breasia Pipkin
• Stephen J Plumb, D.O.
• PM Radiology PL (Gateway EmUrgent Care at MCER)
• Podiatry Center PA
• Polk Rehabilitation Inc
• Polk Rehabilitation Inc
• Eliany Ponce Benitez

• Diagnostic Radiology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Diagnostic Radiology Physician 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.