GO MEDICAL LLC

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Company Details

Legal Name:

GO MEDICAL LLC

Jurisdiction:

WASHINGTON

Entity Type:

WA LIMITED LIABILITY COMPANY

Category:

DOMESTIC ENTITY

Status:

Active

Formation/ Registration Date:

August 6th 2020

Expiration date:

31 Aug 2026

UBI Number:

604 644 941

ZIP code:

98604

City:

Battle Ground

County:

CLARK

Home State:

WASHINGTON

Principal Office Street Address:

105 N PARKWAY AVE, BATTLE GROUND, WA, 98604-9129, UNITED STATES

Principal Office Mailing Address:

105 N PARKWAY AVE STE 102, BATTLE GROUND, WA, 98604-9129, UNITED STATES

Contact Details

E-Mail:

OPDAHLCHIRO@GMAIL.COM

Registered Agent Information

Name	Role
JONER LAW, PLLC	Registered Agent

Name

Role

JONER LAW, PLLC

Registered Agent

Key Officers & Management

Name	Role	Address
LOREN JONER	Executor	PO BOX 928, BATTLE GROUND, WA, 98604-0928, UNITED STATES
THOMAS OPDAHL	Governing Person	-

Name

Role

Address

LOREN JONER

Executor

PO BOX 928, BATTLE GROUND, WA, 98604-0928, UNITED STATES

THOMAS OPDAHL

Governing Person

National Provider Identifier

NPI Number:

1073284105

Certification Date:

2021-09-28

Link:

View on NPI website

Authorized Person:

Name:

DR. THOMAS OPDAHL

Role:

OWNER

Phone:

3606678870

Taxonomy:

Selected Taxonomy:

207QS0010X - Sports Medicine (Family Medicine) Physician

Is Primary:

Yes

Contacts:

GO MEDICAL LLC

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GO MEDICAL LLC

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