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FAMILY MEDICINE CLINIC OF FEDERAL WAY, LLC

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Company Details

Legal Name: FAMILY MEDICINE CLINIC OF FEDERAL WAY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 16th 2005
Expiration date: 30 Jun 2026
UBI Number: 602 513 211
ZIP code: 98003
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 34618 11TH PL S, 100, FEDERAL WAY, WA, 98003-6792, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 34618 11TH PL S, # 100, FEDERAL WAY, WA, 98003-6792, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $37,009

Contact Details

E-Mail: VUTHY@LENGMD.COM
Phone Number: +1 206-214-6007

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VUTHY LENG Registered Agent 34618 11TH PL S # 100, FEDERAL WAY, WA, 98003-0000, UNITED STATES

Key Officers & Management

Name Role
VUTHY LENG Governing Person

National Provider Identifier

NPI Number:
1629113956
Link:
View on NPI website

Authorized Person:

Name:
VUTHY LENG
Role:
OWNER
Phone:
2538384140

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 866-499-8990
Fax:
2538384145

Form 5500 Series

Employer Identification Number (EIN):
161726584
Plan Year:
2023
Number Of Participants:
18
Plan Name:
401(K)
Sponsor's telephone number:
2533364462
File:
View File
Plan Administrator / Signatory:
VUTHY LENG(Plan administrator) VUTHY LENG(Employer/plan sponsor)
Plan Year:
2023
Number Of Participants:
14
Sponsor's telephone number:
2533364462
File:
View File
Plan Administrator / Signatory:
VUTHY LENG(Plan administrator) VUTHY LENG(Employer/plan sponsor)
Plan Year:
2022
Number Of Participants:
13
Sponsor's telephone number:
2533364462
File:
View File
Plan Administrator / Signatory:
VUTHY LENG(Plan administrator) VUTHY LENG(Employer/plan sponsor)
Plan Year:
2022
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
2533364462
File:
View File
Plan Administrator / Signatory:
VUTHY LENG(Plan administrator) VUTHY LENG(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
12
Sponsor's telephone number:
2533364462
File:
View File
Plan Administrator / Signatory:
VUTHY LENG(Plan administrator) VUTHY LENG(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$119,875
Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$119,875
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$120,686.21
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $119,875
Jobs Reported:
10
Initial Approval Amount:
$86,697
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$86,697
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$87,376.13
Servicing Lender:
Red Canoe CU
Use of Proceeds:
Payroll: $86,697

Labor Condition Applications

Case Number:
I-200-24262-347230
Program:
H-1B
Job Title:
Nurse practitioner
SOC (ONET/OES) code:
29-1171.00
SOC (ONET/OES) occupation title:
Nurse Practitioners
Begin Date:
2024-10-01
End Date:
2027-09-30

Employment and Wage Information

Address:
34618 11th PL S, Suite 100, Federal Way, KING, WA, 98003
Wage Rate Paid to Nonimmigrant Workers:
$122,720
Per:
Year
Prevailing Wage Rate:
$122,720

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