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EVERGREEN RADIA, LLC

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Company Details

Legal Name: EVERGREEN RADIA, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 28th 2003
Expiration date: 31 Jul 2026
UBI Number: 602 317 167
ZIP code: 98034
City: Kirkland
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11521 NE 128TH ST. NE, STE 200, KIRKLAND, WA, 98034, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $644,376

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

HEALTH CARE, SOCIAL ASSISTANCE & SERVICE ORGANIZATION

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
JEFFREY FRIEDMAN Governing Person
CHRIS KROL, MD Governing Person
RICHARD GOULD Governing Person
DAVID LIKOSKY, MD Governing Person
BART P KEOGH, MD, PHD Governing Person
LLOYD STAMBAUGH, MD Governing Person

National Provider Identifier

NPI Number:
1922095694

Authorized Person:

Name:
LLOYD STAMBAUGH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
4255631501
Fax:
4259526150
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