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GH FREMONT ENDOSCOPY CENTER SUB, LLC

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Company Details

Legal Name: GH FREMONT ENDOSCOPY CENTER SUB, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 11th 2024
Expiration date: 31 Dec 2025
UBI Number: 605 648 091
Home State: FLORIDA
Principal Office Street Address: Google Maps Logo 9500 S DADELAND BLVD STE 200, MIAMI, FL, 33156-2866, UNITED STATES

Contact Details

E-Mail: AOLIVER@GASTROHEALTH.COM
Phone Number: +1 305-468-4185

Nature of Business

AMBULATORY SURGICAL CENTER FOR ENDOSCOPY SERVICES.

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
ALAN OLIVER Governing Person -
LAWRENCE FRENI Governing Person -
ALAN OLIVER EXECUTOR 9500 S DADELAND BLVD STE 200, MIAMI, FL, 33156-2866, UNITED STATES

National Provider Identifier

NPI Number:
1861202137
Certification Date:
2025-01-09

Authorized Person:

Name:
ERIC BOON
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

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

Contacts:

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