Provider Demographics
NPI:1912391160
Name:DAY SURGERY COMPANIONS SERVICES
Entity Type:Organization
Organization Name:DAY SURGERY COMPANIONS SERVICES
Other - Org Name:DAY SURGERY COMPANION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAREE
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-659-0355
Mailing Address - Street 1:7743 SEWARD PARK AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4248
Mailing Address - Country:US
Mailing Address - Phone:206-659-0355
Mailing Address - Fax:206-659-0264
Practice Address - Street 1:7743 SEWARD PARK AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-4248
Practice Address - Country:US
Practice Address - Phone:206-659-0355
Practice Address - Fax:206-659-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603456872251E00000X, 343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle