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BIRD'S EYE MEDICAL LLC

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Company Details

Legal Name: BIRD'S EYE MEDICAL LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 3rd 2010
Expiration date: 31 Jul 2025
UBI Number: 603 030 291
ZIP code: 98516
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2641 WILLAMETTE DR NE STE A, LACEY, WA, 98516-1360, UNITED STATES

Contact Details

E-Mail: MARSHALL@BIRDSEYEMEDICAL.COM
Phone Number: +1 360-688-7044

Nature of Business

Health Care, Social Assistance & Service Organization, Any Lawful Purpose

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Registered Agent Information

Name Role Address
MARSHALL BISHOP Registered Agent 2641 WILLAMETTE DR NE STE A, SUITE A, LACEY, WA, 98516-1360, UNITED STATES

Key Officers & Management

Name Role Address
MARSHALL BISHOP Governing Person 9215 SKOKOMISH WAY NE # 9215-2, 9215-2, OLYMPIA, WA, 98516-6625, UNITED STATES
PATRICK HASTINGS Governing Person 9215 SKOKOMISH WAY NE # 9215-2, 9215-2, OLYMPIA, WA, 98516-6625, UNITED STATES

Unique Entity ID

Unique Entity ID:
M3QEXNGHMZ17
CAGE Code:
9RDM8
UEI Expiration Date:
2025-09-05

Business Information

Division Name:
BIRD'S EYE MEDICAL
Activation Date:
2024-09-09
Initial Registration Date:
2023-11-27

National Provider Identifier

NPI Number:
1174100093
Certification Date:
2021-03-26

Authorized Person:

Name:
DR. PAUL D BUNGE
Role:
CEO, MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3606887015

Form 5500 Series

Employer Identification Number (EIN):
901895531
Plan Year:
2023
Number Of Participants:
20
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Administrator / Signatory:
PATRICK HASTINGS(Plan administrator)

History

Type Old value New value Date of change
Name change BIRD'S EYE MEDICAL PLLC BIRD'S EYE MEDICAL LLC 2023-01-04
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