LONGVIEW UROLOGY, PLLC

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Company Details

Legal Name:	LONGVIEW UROLOGY, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	December 20th 2002
Date of Dissolution:	February 22nd 2021
Expiration date:	31 Dec 2020
UBI Number:	602 257 890
ZIP code:	98632
City:	Longview
County:	COWLITZ
Home State:	WASHINGTON
Principal Office Street Address:	625 9TH AVE STE 120, LONGVIEW, WA, 98632-2465, UNITED STATES

Contact Details

E-Mail:	LPSLCORPSEA@LANEPOWELL.COM
Phone Number:	+1 360-442-7926

Nature of Business

Health Care, Social Assistance & Service Organization, OPERATE A UROLOGY CLINIC

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Registered Agent Information

Name	Role	Address
LPSL CORPORATE SERVICES, INC.	Registered Agent	1420 5TH AVE STE 4200, SEATTLE, WA, 98101-2375, UNITED STATES

Key Officers & Management

Name	Role	Address
PATRICK LASSEN	Governing Person	625 9TH AVENUE, STE 120, LONGVIEW, WA, 98632, UNITED STATES
CHAD CHESLEY	Governing Person	625 9TH AVENUE, STE 120, LONGVIEW, WA, 98632, UNITED STATES

National Provider Identifier

NPI Number:

1730187766

Link:

View on NPI website

Authorized Person:

Name:

PATRICK M LASSEN

Role:

OWNER

Phone:

3604253720

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-425-3720

Fax:

3604250090

Form 5500 Series

Employer Identification Number (EIN):

830344981

Plan Year:

2020

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

3604253720

File:

Plan Year:

2019

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

3604253720

File:

Plan Year:

2018

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

3604253720

File:

Plan Year:

2017

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

3604253720

File:

Plan Year:

2016

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

3604253720

File:

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