| Organization Name: | ACCUDOC INC PC |
| NPI Number: | 1417201229 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRENT R AUSTIN (PRESIDENT) |
| Mailing Address: | 555 E Eads Pkwy Greendale |
| State: | IN US |
| Postal Code: | 47025 |
| Phone Number: | 8125770092 |
| Fax Number: | 8125770127 |
| NPI Enumeration Date: | 10/31/2012 |
| NPI Last Update Date: | 03/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |