Healthcare Provider Details

I. General information

NPI: 1508729849
Provider Name (Legal Business Name): GALEN DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 E BALTIMORE ST STE E
TANEYTOWN MD
21787-2339
US

IV. Provider business mailing address

1100 BUSINESS PKWY S STE 1
WESTMINSTER MD
21157-3048
US

V. Phone/Fax

Practice location:
  • Phone: 410-514-2536
  • Fax:
Mailing address:
  • Phone: 410-514-2536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RODNEY H BLOCKSTON JR.
Title or Position: CEO
Credential:
Phone: 410-514-2536