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GRAYS HARBOR CARDIOVASCULAR IMAGING, PLLC

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Company Details

Legal Name: GRAYS HARBOR CARDIOVASCULAR IMAGING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 28th 2009
Date of Dissolution: February 9th 2023
Expiration date: 31 Aug 2022
UBI Number: 602 950 861
ZIP code: 98520
City: Aberdeen
County: GRAYS HARBOR
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1921 SUMNER AVE, PO BOX 1898, ABERDEEN, WA, 98520, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1898, ABERDEEN, WA, 98520-0315, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $14,193

Contact Details

E-Mail: KHSPROUFFSKE@HOTMAIL.COM
Phone Number: +1 360-533-6447

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KEVIN SPROUFFSKE Registered Agent 1921 SUMNER AVE, ABERDEEN, WA, 98520-3606, UNITED STATES

Key Officers & Management

Name Role
DANIEL CANFIELD Governing Person
JOHN BAUSHER Governing Person
TIMOTHY TROEH Governing Person

National Provider Identifier

NPI Number:
1184950842

Authorized Person:

Name:
DR. LOREN EARNEST LAYBOURN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3605380807

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$41,800
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$41,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$42,101.19
Servicing Lender:
Bank of the Pacific
Use of Proceeds:
Payroll: $41,800
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