Organization
MEDICAB, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ALLEN SUTHERLAND (OWNER)
(765) 278-6376
Entity
Organization
Contact information
Practice address
1210 FAIRFAX ST, ANDERSON, IN 46012-4345
(765) 278-6376
Mailing address
1210 FAIRFAX ST, ANDERSON, IN 46012-4345
(765) 278-6376
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
7400007454
IN
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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