Provider Demographics
NPI:1831978956
Name:MEDICAL GUARDIAN ACQUISITION CO LLC
Entity type:Organization
Organization Name:MEDICAL GUARDIAN ACQUISITION CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-699-7835
Mailing Address - Street 1:1818 MARKET ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-3627
Mailing Address - Country:US
Mailing Address - Phone:917-699-7835
Mailing Address - Fax:
Practice Address - Street 1:1818 MARKET ST STE 1200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3627
Practice Address - Country:US
Practice Address - Phone:917-699-7835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies