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LOWER COLUMBIA AMBULATORY SURGERY CENTER, PLLC

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Company Details

Legal Name: LOWER COLUMBIA AMBULATORY SURGERY CENTER, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: September 28th 2000
Date of Dissolution: January 3rd 2011
Expiration date: 30 Sep 2010
UBI Number: 602 068 997
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 820 11TH AVE, LONGVIEW, WA, 98632, UNITED STATES

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Registered Agent Information

Name Role Address
DONALD W FREY Registered Agent 600 ROYAL STREET W # B, KELSO, WA, 98626, UNITED STATES

Key Officers & Management

Name Role
ALEXANDER IEROKOMOS Governing Person

National Provider Identifier

NPI Number:
1710927553

Authorized Person:

Name:
ALEXANDER IEROKOMOS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3604238778
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