MEDICARE: HEALTH GUARDIAN IMAGING 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	261QR0200X	Radiology Clinic/Center
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1477444560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH GUARDIAN IMAGING LLC

Provider Business Mailing Address
First Line	:	1505 E BRADFORD PKWY STE B
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-6566
Country	:	US
Telephone Number	:	417-708-9043
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 E BRADFORD PKWY STE B
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-6566
Country	:	US
Telephone Number	:	417-708-9043
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EARL BLAIR MAES
Credential	:	MD
Telephone Number	:	877-681-2977

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	06/18/2026

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