Organization
GATEWAY IMAGING LLC
Active
Other names
Midwest Radiologic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN B. DOCKERY (ADMINISTRATOR)
(812) 422-3254
Entity
Organization
Contact information
Practice address
4087 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 858-0080
(812) 858-6637
Mailing address
4087 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 858-0080
(812) 858-6637
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB0894
RAILROAD MEDICARE
IN
Enumeration date
10/04/2005
Last updated
02/21/2008
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