Provider Demographics
NPI:1033890876
Name:GUARDIAN BIOLOGICS LLC
Entity Type:Organization
Organization Name:GUARDIAN BIOLOGICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-429-1901
Mailing Address - Street 1:1500 MEDICAL CENTER PKWY STE 16
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3837
Mailing Address - Country:US
Mailing Address - Phone:919-429-1901
Mailing Address - Fax:
Practice Address - Street 1:1500 MEDICAL CENTER PKWY STE 16
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3837
Practice Address - Country:US
Practice Address - Phone:919-429-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2024-05-09
Deactivation Date:2023-10-14
Deactivation Code:
Reactivation Date:2023-10-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty