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MEMORIAL NEPHROLOGY ASSOCIATES, PLLC

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Company Details

Legal Name: MEMORIAL NEPHROLOGY ASSOCIATES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 13th 2001
Expiration date: 31 Mar 2026
UBI Number: 602 104 853
ZIP code: 98506
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3525 ENSIGN RD NE STE K, OLYMPIA, WA, 98506-5065, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $102,104

Contact Details

E-Mail: MIKKIC@MEMORIALNEPHROLOGY.ORG
Phone Number: +1 360-413-8121

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SETH THALER Registered Agent 3525 ENSIGN RD NE STE K, OLYMPIA, WA, 98506-0000, UNITED STATES

Key Officers & Management

Name Role Address
SETH THALER Governing Person 1425 10TH AVE SW, OLYMPIA, WA, 98502, UNITED STATES
VO NGUYEN Governing Person 2501 WEDGEWOOD CT SE, OLYMPIA, WA, 98501, UNITED STATES
NIRANJAN SIVAKUMAR Governing Person -
TSERING DHONDUP Governing Person -
THUAN NGUYEN Governing Person -
HETAL SHAH Governing Person -

National Provider Identifier

NPI Number:
1053374421
Certification Date:
2024-10-21
Link:
View on NPI website

Authorized Person:

Name:
MIKKI COLLETT
Role:
PRACTICE ADMINISTRATOR
Phone:
3604138391

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 360-413-8121
Fax:
3604138865

Form 5500 Series

Employer Identification Number (EIN):
912110314
Plan Year:
2023
Number Of Participants:
24
Sponsor's telephone number:
3604138391
File:
View File
Plan Administrator / Signatory:
MIKKI COLLETT(Plan administrator)
Plan Year:
2022
Number Of Participants:
21
Plan Name:
401(K)
Sponsor's telephone number:
3604138391
File:
View File
Plan Administrator / Signatory:
MIKKI COLLETT(Plan administrator)
Plan Year:
2021
Number Of Participants:
19
Plan Name:
401(K)
Sponsor's telephone number:
3604138391
File:
View File
Plan Administrator / Signatory:
MIKKI COLLETT(Plan administrator)
Plan Year:
2020
Number Of Participants:
19
Plan Name:
401(K)
Sponsor's telephone number:
3604138391
File:
View File
Plan Administrator / Signatory:
MIKKI COLLETT(Plan administrator)
Plan Year:
2019
Number Of Participants:
21
Plan Name:
401(K)
Sponsor's telephone number:
3604138391
File:
View File
Plan Administrator / Signatory:
MIKKI COLLETT(Plan administrator)

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$170,100
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$170,100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$172,304.31
Servicing Lender:
Timberland Bank
Use of Proceeds:
Payroll: $170,100

Labor Condition Applications

Case Number:
I-200-22181-323267
Program:
H-1B
Job Title:
Nephrologist
SOC (ONET/OES) code:
29-1069.00
SOC (ONET/OES) occupation title:
Physicians and Surgeons, All Other
Begin Date:
2022-08-30
End Date:
2025-08-29

Employment and Wage Information

Address:
413 Lilly Rd NE, Olympia, THURSTON, WA, 98506
Wage Rate Paid to Nonimmigrant Workers:
$240,000
Per:
Year
Prevailing Wage Rate:
$194,501

Related by address

3525 ENSIGN RD NE STE K, OLYMPIA, WA, 98506-5065, UNITED STATES

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