Provider Demographics
NPI:1225215742
Name:DAVIS SAMEH MEEKER LABORATORIES PS
Entity Type:Organization
Organization Name:DAVIS SAMEH MEEKER LABORATORIES PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-529-1770
Mailing Address - Street 1:320 W WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2922
Mailing Address - Country:US
Mailing Address - Phone:509-529-1770
Mailing Address - Fax:509-525-1326
Practice Address - Street 1:320 W WILLOW ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2922
Practice Address - Country:US
Practice Address - Phone:509-529-1770
Practice Address - Fax:509-525-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMTS0933291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory