Organization Active NPI

Galen Neurodiagnostics LLC

  • Electrodiagnostic Medicine Physician
  • Austin, TX
National Provider Identifier
1508359712
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
GALEN NEURODIAGNOSTICS LLC
Practice address
901 W 38TH St Ste 101
Austin, TX 78705-1164
Phone
(512) 992-0027
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Grant Lee Godby
Title
Principal/Owner
Phone
(512) 653-3459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204R00000X Primary

Addresses

Primary practice location

901 W 38TH St Ste 101
Austin, TX 78705-1164

Mailing address

PO Box 90421
Austin, TX 78709-0421
Phone (512) 653-3459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1508359712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90421",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787090421",
            "telephone_number": "512-653-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051164",
            "telephone_number": "512-992-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALEN NEURODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "GODBY",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRINCIPAL/OWNER",
        "authorized_official_telephone_number": "512-653-3459"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.