PM RADIOLOGY P L NPI 1740699982

NPI Information

  • NPI: 1740699982
  • Provider Name: PM RADIOLOGY P L
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: GATEWAY RADIOLOGY AT MCER
  • CLIA Number: 10D1096067
  • Address: 23607 US HIGHWAY 27
    LAKE WALES, FL
    ZIP 33859
  • Phone: (727) 522-1061

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NPI Details

PM RADIOLOGY P L is a diagnostic radiology radiology in Lake Wales, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PM RADIOLOGY P L NPI is 1740699982. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gateway Radiology At Mcer.

The provider's business location address is:

23607 US HIGHWAY 27
LAKE WALES, FL
ZIP 33859
Phone: (727) 522-1061
Fax: (727) 528-7916

The provider's authorized official is Gagandeep S Mangat .
The authorized official title is President and has the following contact phone number (727) 522-1061.

The CLIA number assigned to this NPI record is 10D1096067 - other - op medical imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2014 and was last updated on 3/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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