Organization Active NPI

Medicab, LLC.

  • Taxi
  • Anderson, IN
National Provider Identifier
1093109373
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
7400007454 Issued in IN
Legal business name
MEDICAB, LLC.
Practice address
1210 Fairfax St
Anderson, IN 46012-4345
Phone
(765) 278-6376
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig Allen Sutherland
Title
Owner
Phone
(765) 278-6376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 7400007454 IN Primary

Addresses

Primary practice location

1210 Fairfax St
Anderson, IN 46012-4345

Mailing address

1210 Fairfax St
Anderson, IN 46012-4345
Phone (765) 278-6376

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1093109373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 FAIRFAX ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124345",
            "telephone_number": "765-278-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 FAIRFAX ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124345",
            "telephone_number": "765-278-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAB, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-278-6376"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IN",
            "license": "7400007454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.