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LIBERTY ASC, LLC

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Company Details

Legal Name: LIBERTY ASC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 8th 2018
Expiration date: 31 Oct 2025
UBI Number: 604 344 364
ZIP code: 99037
City: Veradale
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 507 N SULLIVAN RD STE 120, SPOKANE VLY, WA, 99037-8535, UNITED STATES

Contact Details

E-Mail: BRYAN@LIBERTYSURGERYCENTER.COM
Phone Number: +1 509-922-2273

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role Address
BRYAN MCLELLAND Registered Agent 507 N SULLIVAN RD STE 120, SPOKANE VLY, WA, 99037-8535, UNITED STATES

Key Officers & Management

Name Role Address
BRYAN MCLELLAND Executor 400 N STIMSON LN, LIBERTY LAKE, WA, 99019-6044, UNITED STATES
BRYAN MCLELLAND Governing Person -

National Provider Identifier

NPI Number:
1609345727

Authorized Person:

Name:
MELANIE CASEY
Role:
BILLING
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

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