Provider Demographics
NPI:1255921250
Name:SUMMERBIO LLC
Entity type:Organization
Organization Name:SUMMERBIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-530-0337
Mailing Address - Street 1:980 O'BRIEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-1407
Mailing Address - Country:US
Mailing Address - Phone:650-410-7171
Mailing Address - Fax:
Practice Address - Street 1:980 O'BRIEN DRIVE
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-1407
Practice Address - Country:US
Practice Address - Phone:650-410-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory