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ADVANCED MEDICAL IMAGING CENTER LLC

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Company Details

Legal Name: ADVANCED MEDICAL IMAGING CENTER LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 28th 2000
Date of Dissolution: December 27th 2012
Expiration date: 31 Aug 2013
UBI Number: 602 061 476

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Registered Agent Information

Name Role Address
CRAIG RARMSTRONG Registered Agent 1115 SE 164TH AVE, VANCOUVER, WA, 98683, UNITED STATES

Key Officers & Management

Name Role
* COLUMBIA IMAGING GROUP PS Governing Person
* SOUTHWEST WASHINGTON HEALTH SY Governing Person

National Provider Identifier

NPI Number:
1114008737

Authorized Person:

Name:
MR. QUENTIN PHILLIPS II
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
3608830071
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