IRAD MEDICAL IMAGING, P.C.

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Company Details

Legal Name:	IRAD MEDICAL IMAGING, P.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	August 22nd 1991
Date of Dissolution:	January 3rd 2020
Expiration date:	31 Aug 2019
UBI Number:	601 336 905
Home State:	OREGON
Principal Office Street Address:	2158 NE HILLTOP LN, MADRAS, OR, 97741-8731, UNITED STATES

Contact Details

E-Mail:	POTTERTRISH73@YAHOO.COM
Phone Number:	+1 541-990-6343

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
THORNSON BARNETT & MCDONALD PC	Registered Agent	601 UNION ST STE 3315, SEATTLE, WA, 98101-0000, UNITED STATES

Key Officers & Management

Name	Role
DAVID HENLEY	Governing Person
CHUCK MARTIN	Governing Person
PETER ORY	Governing Person

National Provider Identifier

NPI Number:

1841221389

Link:

View on NPI website

Authorized Person:

Name:

MICHAEL T RICCI

Role:

MANAGING PARTNER

Phone:

2062489729

Taxonomy:

Selected Taxonomy:

2085R0202X - Diagnostic Radiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 877-746-7096

Fax:

5594554017

Phone:

+1 206-248-9729

Fax:

2064315231

Form 5500 Series

Employer Identification Number (EIN):

911522098

Plan Year:

2013

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2062752423

File:

Plan Year:

2012

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2062752423

File:

Plan Administrator / Signatory:

MICHAEL T. RICCI, MD(Plan administrator)

Plan Year:

2011

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

2062752423

File:

Plan Administrator / Signatory:

MICHAEL T. RICCI, MD(Plan administrator)

Plan Year:

2009

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

2062752423

File:

Plan Administrator / Signatory:

DR. MICHAEL RICCI(Plan administrator) DR. MICHAEL RICCI(Employer/plan sponsor)

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