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CAPSTONE MEDICAL, LLC

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Company Details

Legal Name: CAPSTONE MEDICAL, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 8th 2018
Expiration date: 30 Nov 2025
UBI Number: 604 350 516
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9501 LAKEWOOD DR SW BLDG 24, LAKEWOOD, WA, 98499-5961, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $8,280

Contact Details

E-Mail: FAMARTINEZ@RELIAMED.COM

Nature of Business

PROVIDER OF COMPLEX REHAB TECHNOLOGY, CLINICAL RESPIRATORY PRODUCTS, AND DURABLE MEDICAL EQUIPMENT AND SUPPLIES

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Registered Agent Information

Name Role Address
CT CORPORATE SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
RELIABLE MEDICAL SUPPLY ACQUISITIONCO, LLC Governing Person -
MATTHEW PETTIT Governing Person -
CURTIS BUCK INCORPORATOR 115 10TH AVE, KIRKLAND, WA, 98033-5522, UNITED STATES

U.S. Small Business Administration Profile

DBA:
CAPSTONE MEDICAL, INC.
Phone Number:
+1 629-252-8211
E-mail Address:
karussell@reliamed.com
Contact Person:
KILEY RUSSELL
Last Update Date:
2025-01-16
Naics Primary:
621399
SBA Link:
View company profile on SBA website

Self-Certification:

For Profit Organization

Unique Entity ID

Unique Entity ID:
WS8RQNVBLRP7
CAGE Code:
8Z2G3
UEI Expiration Date:
2026-01-14

Business Information

Doing Business As:
CAPSTONE MEDICAL, INC.
Activation Date:
2025-01-16
Initial Registration Date:
2021-03-25

National Provider Identifier

NPI Number:
1346711884
Certification Date:
2024-04-17
Link:
View on NPI website

Authorized Person:

Name:
KILEY ANN RUSSELL
Role:
SENIOR DIRECTOR OF PAYOR RELATIONS
Phone:
6292528211

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332BN1400X - Nursing Facility Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Phone:
+1 629-252-8211
Fax:
7632553972
Phone:
+1 800-574-7982
Fax:
8005743017

Form 5500 Series

Employer Identification Number (EIN):
832530276
Plan Year:
2023
Number Of Participants:
14
Plan Name:
401(K)
Sponsor's telephone number:
8005747992
File:
View File
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
8005747992
File:
View File
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2022
Number Of Participants:
14
Plan Name:
401(K)
Sponsor's telephone number:
8005747992
File:
View File
Plan Administrator / Signatory:
CHRISTINE RIMER(Plan administrator)
Plan Year:
2021
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
8005747992
File:
View File
Plan Administrator / Signatory:
CHRISTINE RIMER(Plan administrator)

History

Type Old value New value Date of change
Name change CAPSTONE MEDICAL, INC. CAPSTONE MEDICAL, LLC 2023-03-29

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$87,700
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$87,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$88,444.85
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $87,700
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