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BELLEVUE MEDICAL IMAGING, PLLC

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Company Details

Legal Name: BELLEVUE MEDICAL IMAGING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 13th 2002
Expiration date: 30 Jun 2026
UBI Number: 602 212 468
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1400 116TH AVE NE, BELLEVUE, WA, 98004, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 727, BELLEVUE, WA, 98009-0727, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $93,024

Contact Details

E-Mail: ACCOUNTING@BMIRAD.COM
Phone Number: +1 425-454-1700

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DR. BRIAN JACOBS Registered Agent 1400 116TH AVE NE STE 200, BELLEVUE, WA, 98004-3816, UNITED STATES

Key Officers & Management

Name Role Address
BRIAN JACOBS Governing Person 1400 116TH AVE NE, BELLEVUE, WA, 98004, UNITED STATES

National Provider Identifier

NPI Number:
1063606309

Authorized Person:

Name:
VALERIE S JOHANSEN
Role:
BOOKKEEPER
Phone:

Taxonomy:

Selected Taxonomy:
247100000X - Radiologic Technologist
Is Primary:
Yes

Contacts:

Fax:
4254540600

Form 5500 Series

Employer Identification Number (EIN):
912177853
Plan Year:
2017
Number Of Participants:
30
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BRIAN JACOBS, M.D.(Plan administrator)
Plan Year:
2016
Number Of Participants:
32
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BRIAN JACOBS, M.D.(Plan administrator)
Plan Year:
2015
Number Of Participants:
46
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BRIAN JACOBS(Plan administrator)
Plan Year:
2014
Number Of Participants:
43
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
BRIAN JACOBS(Plan administrator)
Plan Year:
2013
Number Of Participants:
57
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID MATHERLY(Plan administrator)

OSHA's Inspections within Industry

Inspection Summary

Date:
2011-02-08
Type:
Referral
Address:
1400 116TH AVE NE, BELLEVUE, WA, 98199
Safety Health:
Health
Scope:
Complete

Paycheck Protection Program

Jobs Reported:
27
Initial Approval Amount:
$387,300
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$387,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$389,899.68
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $387,300
Jobs Reported:
41
Initial Approval Amount:
$346,300
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$346,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$348,633.97
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $346,298
Utilities: $1
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