Healthcare Provider Details

I. General information

NPI: 1184726242
Provider Name (Legal Business Name): GUARDIAN MEDICAL MONITORING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 TOWN CTR STE 2555
SOUTHFIELD MI
48075-1144
US

IV. Provider business mailing address

3000 TOWN CTR STE 2555
SOUTHFIELD MI
48075-1144
US

V. Phone/Fax

Practice location:
  • Phone: 888-349-2400
  • Fax: 877-205-3621
Mailing address:
  • Phone: 888-349-2400
  • Fax: 877-205-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT KERN
Title or Position: VICE PRESIDENT AND TREASURER
Credential:
Phone: 855-206-2954