Provider Demographics
NPI:1275178600
Name:PDQ URGENT CARE PC
Entity Type:Organization
Organization Name:PDQ URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUENDT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:205-542-2084
Mailing Address - Street 1:2060 RESCUE RD
Mailing Address - Street 2:
Mailing Address - City:UNION GROVE
Mailing Address - State:AL
Mailing Address - Zip Code:35175-5130
Mailing Address - Country:US
Mailing Address - Phone:205-542-2084
Mailing Address - Fax:
Practice Address - Street 1:3319C MEMORIAL PKWY SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5342
Practice Address - Country:US
Practice Address - Phone:256-489-5838
Practice Address - Fax:256-489-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care