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INLAND IMAGING ASSOCIATES, PS

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Company Details

Legal Name: INLAND IMAGING ASSOCIATES, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 29th 2018
Expiration date: 31 Oct 2025
UBI Number: 604 338 256
ZIP code: 99204
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 801 S STEVENS ST, SPOKANE, WA, 99204-2654, UNITED STATES

Contact Details

E-Mail: LVANWINKLE@OMWLAW.COM
Phone Number: +1 509-662-1954

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SARAH JOHNSON Registered Agent 801 S STEVENS ST, SPOKANE, WA, 99204-2654, UNITED STATES

Key Officers & Management

Name Role Address
JAYSON BROWER Governing Person -
SARAH JOHNSON Governing Person -
DAVID THAYER Governing Person -
TAVI LOHMAN Governing Person -
TERRI LEWIS Incorporator 801 S STEVENS ST, SPOKANE, WA, 99204-2654, UNITED STATES
JAYSON BROWER Incorporator 801 S STEVENS ST, SPOKANE, WA, 99204-2654, UNITED STATES

Unique Entity ID

Unique Entity ID:
DRTADJJNMG55
CAGE Code:
68392
UEI Expiration Date:
2026-01-06

Business Information

Activation Date:
2025-01-08
Initial Registration Date:
2020-06-09

Commercial and government entity program

CAGE number:
68392
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-08
CAGE Expiration:
2030-01-08
SAM Expiration:
2026-01-06

Contact Information

POC:
SARAH RUSSELL

National Provider Identifier

NPI Number:
1982236469
Certification Date:
2021-02-24

Authorized Person:

Name:
LORI WALTERS
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

USAspending Awards / Contracts

Procurement Instrument Identifier:
HHSI24829022
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
$2,080
Base And Exercised Options Value:
$2,080
Base And All Options Value:
$2,080
Awarding Agency Name:
Department of Health and Human Services
Performance Start Date:
2011-06-23
Description:
INLAND IMAGING ACCOUNT WEL0100 INVOICE INV07747 INVOICE DATE SEPTEMBER 7TH 2010 BPA HHSI248200910009B
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: RADIOLOGY SERVICES
Procurement Instrument Identifier:
HHSI24829020
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
$2,600
Base And Exercised Options Value:
$2,600
Base And All Options Value:
$2,600
Awarding Agency Name:
Department of Health and Human Services
Performance Start Date:
2011-05-27
Description:
INLAND IMAGING ACCOUNT WEL0100 INVOICE INV07940 INVOICE DATE JANUARY 21ST 2011 BPA HHSI248200910009B
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: RADIOLOGY SERVICES
Procurement Instrument Identifier:
HHSI24829021
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
$640
Base And Exercised Options Value:
$640
Base And All Options Value:
$640
Awarding Agency Name:
Department of Health and Human Services
Performance Start Date:
2011-05-27
Description:
INLAND IMAGING ACCOUNT WEL0100 INVOICE INV08098 INVOICE DATE APRIL 15TH 2011 BPA HHSI248200910009B
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: RADIOLOGY SERVICES
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