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EXCEL IMAGING, LLC

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Company Details

Legal Name: EXCEL IMAGING, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 5th 2003
Date of Dissolution: September 1st 2015
Expiration date: 31 May 2015
UBI Number: 602 294 599

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Registered Agent Information

Name Role Address
TIMOTHY J KAMKE Registered Agent 415 BAKER BLVD #110, TUKWILA, WA, 98188, UNITED STATES

Key Officers & Management

Name Role Address
STEVE GERBER Governing Person 415 BAKER BLVD, SUITE 110, TUKWILA, WA, 98188, UNITED STATES

National Provider Identifier

NPI Number:
1720166895

Authorized Person:

Name:
BETH LUPO
Role:
PROVIDER RELATIONS SUPERVISOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2064398878
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