Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Montlake Diagnostics, PLLC

Organization Electrodiagnostic Medicine Physician · NPI 1760841258

Montlake Diagnostics, PLLC is an Electrodiagnostic Medicine Physician in San Antonio, Texas. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1819 N Main Ave # 218
San Antonio, TX 78212-3941
Phone: (210) 714-5532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Neurology Physician Taxonomy 2084N0400X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1760841258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Tisdall — Owner · (210) 714-5532
NPI enumeratedFebruary 12, 2016
Last updated in NPPESNovember 16, 2016
Mailing address1819 N Main Ave # 218, San Antonio, TX 78212-3941

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