Provider Demographics
NPI:1841519881
Name:GATE MEDICALS,LLC
Entity type:Organization
Organization Name:GATE MEDICALS,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-916-2387
Mailing Address - Street 1:3200 PALM TRACE LANDINGS DR APT 916
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-6803
Mailing Address - Country:US
Mailing Address - Phone:954-916-2387
Mailing Address - Fax:866-486-4268
Practice Address - Street 1:1802 N UNIVERSITY DR STE 102-117
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4115
Practice Address - Country:US
Practice Address - Phone:954-916-2387
Practice Address - Fax:866-486-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory