MEDICARE: GUARDIAN LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1902752975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN LABS LLC

Provider Business Mailing Address
First Line	:	1821 SUMMIT RD STE 202A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2819
Country	:	US
Telephone Number	:	513-254-9322
Fax Number	:	513-964-9674

Provider Business Practice Location Address
First Line	:	1821 SUMMIT RD STE 202A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2819
Country	:	US
Telephone Number	:	513-254-9322
Fax Number	:	513-964-9674

Authorized Official
Title or Position	:	OWNER/ DIRECTOR
Name	:	MS. LANDY N PHILLIPS
Credential	:	PHILLIPS
Telephone Number	:	513-389-6341

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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