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EASTSIDE UROLOGY ASSOCIATES, P.S.

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Company Details

Legal Name: EASTSIDE UROLOGY ASSOCIATES, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 12th 1980
Date of Dissolution: October 2nd 2017
Expiration date: 31 May 2017
UBI Number: 600 362 564

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Registered Agent Information

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

Key Officers & Management

Name Role Address
TANYA NAZEMI Governing Person 11911 NE 132ND ST, SUITE 200, KIRKLAND, WA, 98034, UNITED STATES
SCOTT VAN APPLEDORN Governing Person 11911 NE 132ND ST, SUITE 200, KIRKLAND, WA, 98034, UNITED STATES
NARENDER SOOD Governing Person 11911 NE 132ND ST, SUITE 200, KIRKLAND, WA, 98034, UNITED STATES
ANDREW DECK Governing Person 11911 NE 132ND ST, SUITE 200, KIRKLAND, WA, 98034, UNITED STATES

National Provider Identifier

NPI Number:
1871512756

Authorized Person:

Name:
LINDA L LEIGHTON
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4258995806
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