Provider Demographics
NPI:1477444560
Name:HEALTH GUARDIAN IMAGING LLC
Entity type:Organization
Organization Name:HEALTH GUARDIAN IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:MAES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-681-2977
Mailing Address - Street 1:1249 E MONTCLAIR ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4255
Mailing Address - Country:US
Mailing Address - Phone:877-681-2977
Mailing Address - Fax:
Practice Address - Street 1:1249 E MONTCLAIR ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4255
Practice Address - Country:US
Practice Address - Phone:877-681-2977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology