Galaxy Mobile Diagnostics Services LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GALAXY MOBILE DIAGNOSTICS SERVICES LLC

Doing business as

Imagedx, LLC

Practice address

2 Kennedy Blvd
2ND Floor
East Brunswick, NJ 08816-1248

Phone

(201) 426-0220

Fax

(732) 839-9012

NPI assigned

Apr 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Peter Gudaitis

Title

President

Phone

(718) 789-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IMAGEDX, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1033505532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KENNEDY BLVD",
            "address_2": "2ND FLOOR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161248",
            "telephone_number": "201-426-0220",
            "fax_number": "732-839-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KENNEDY BLVD",
            "address_2": "2ND FLOOR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161248",
            "telephone_number": "201-426-0220",
            "fax_number": "732-839-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY MOBILE DIAGNOSTICS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "GUDAITIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-789-1818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427055",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGEDX, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAGEDX, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Gabriel, MD
• Sheryl Anne Gabriel, NP
• Kendra Gainey, MA
• Tina Marie Gajda, MA, LAC, NCC
• Karen Gala, PT
• Kristen Gallicchio, DVM
• Galloping Hill Surgical LLC (Allcare Medical)
• Andrea L Garcia, OTD, MSW, OTR/L
• Rachyl Lynn Garinger, RDN
• Laxmipathi Garipalli, MD

• Physiological Laboratory in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Physiological Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.