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LDV ANESTHESIA SERVICES LLC

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Company Details

Legal Name: LDV ANESTHESIA SERVICES LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 30th 2008
Date of Dissolution: January 4th 2016
Expiration date: 30 Sep 2015
UBI Number: 602 867 552
ZIP code: 98405
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1901 S UNION AVE, TACOMA, WA, 98405, UNITED STATES

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Registered Agent Information

Name Role Address
LONG VU Registered Agent 2509 N STARR ST, TACOMA, WA, 98403, UNITED STATES

Key Officers & Management

Name Role Address
LONG VU Governing Person 2509 N STARR ST, TACOMA, WA, 98403, UNITED STATES

National Provider Identifier

NPI Number:
1841441573

Authorized Person:

Name:
DR. LONG DAI VU
Role:
PROVIDER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2539846774
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