Provider Demographics
NPI:1609352574
Name:MERIDIAN CAB COMPANY, INC
Entity Type:Organization
Organization Name:MERIDIAN CAB COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELEQUE
Authorized Official - Middle Name:MI
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-300-2393
Mailing Address - Street 1:2121 5TH ST STE 304A
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-5110
Mailing Address - Country:US
Mailing Address - Phone:601-693-6338
Mailing Address - Fax:
Practice Address - Street 1:2121 5TH ST STE 304A
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-5110
Practice Address - Country:US
Practice Address - Phone:601-693-6338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSBL20170001959344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi