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BELLEVUE UROLOGY ASSOCIATES, INC. P.S.

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Company Details

Legal Name: BELLEVUE UROLOGY ASSOCIATES, INC. P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 1st 1970
Date of Dissolution: March 3rd 2022
Expiration date: 31 Oct 2021
UBI Number: 600 029 759
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1135 116TH AVE NE STE 620, BELLEVUE, WA, 98004-4636, UNITED STATES

Contact Details

E-Mail: BCARTER@WAUROLOGY.COM
Phone Number: +1 425-454-8016

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BELLEVUE UROLOGY ASSOCIATES Registered Agent 1135 116TH AVE NE STE 620, BELLEVUE, WA, 98004-4636, UNITED STATES

Key Officers & Management

Name Role
ELIZABETH MILLER Governing Person
MARTIN WALL Governing Person
KHANH PHAM Governing Person
THOMAS TAKAYAMA Governing Person

National Provider Identifier

NPI Number:
1578754347

Authorized Person:

Name:
ROBERT M WEISSMAN
Role:
M.D. & PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4254532827
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