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HARBOR RADIOLOGISTS, P.S.

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Company Details

Legal Name: HARBOR RADIOLOGISTS, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 1st 1981
Date of Dissolution: January 2nd 2013
Expiration date: 30 Sep 2012
UBI Number: 600 412 057

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Registered Agent Information

Name Role Address
DENNIS M O'CONNELL MD Registered Agent 1108 BASICH BLVD, ABERDEEN, WA, 98520-1001, UNITED STATES

Key Officers & Management

Name Role Address
DENNIS O'CONNELL Governing Person 11500 NEW 76TH ST, #A-3 #55, VANCOUVER, WA, 98662, UNITED STATES

National Provider Identifier

NPI Number:
1639203649

Authorized Person:

Name:
MRS. WILNA J WHEELER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3605335633
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