# GATEWAY DIAGNOSTIC IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053462655
- **Authorized official:** KATRINA ROELLE (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (614) 689-1691

## Contact information

- **Practice address:** 221 WEST TRAVIS STREET, SHERMAN, TX 75092
- **Practice address phone:** (903) 771-3030
- **Practice address fax:** (903) 581-4050
- **Mailing address:** PO BOX 746662, ATLANTA, GA 30374-6662
- **Mailing address phone:** (877) 275-9077
- **Mailing address fax:** (720) 974-0370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 09/12/2024