| Organization Name: | GATEWAY DIAGNOSTIC IMAGING, LLC |
| NPI Number: | 1053462655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COREY HOLTMAN (DIRECTOR) |
| Mailing Address: | 9155 Boulevard 26 Suite 210 North Richland Hills |
| State: | TX US |
| Postal Code: | 761805672 |
| Phone Number: | 8174283929 |
| Fax Number: | 2143821903 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 02/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |