MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.

Is this your business?

Get access!

Company Details

Legal Name:	MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	March 28th 2008
Expiration date:	31 Mar 2026
UBI Number:	602 817 772
ZIP code:	99336
City:	Kennewick
County:	BENTON
Home State:	WASHINGTON
Principal Office Street Address:	7105 W HOOD PL STE A103, KENNEWICK, WA, 99336-6714, UNITED STATES

Contact Details

E-Mail:	CMERTENS@MMCLEGAL.NET
Phone Number:	+1 509-374-4200

Nature of Business

Health Care, Social Assistance & Service Organization

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name	Role	Address
CHRISTOPHER MERTENS	Registered Agent	1020 N CENTER PARKWAY STE. B, KENNEWICK, WA, 99336-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
RANDALL FONG, M D	Governing Person	7105 W HOOD PLACE, SUITE A103, KENNEWICK, WA, 99336, UNITED STATES

National Provider Identifier

NPI Number:

1386819704

Link:

View on NPI website

Authorized Person:

Name:

DR. RANDALL SCOTT FONG

Role:

OWNER

Phone:

5095850795

Taxonomy:

Selected Taxonomy:

231H00000X - Audiologist

Is Primary:

No

Selected Taxonomy:

207Y00000X - Otolaryngology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-585-0795

Form 5500 Series

Employer Identification Number (EIN):

262583188

Plan Year:

2012

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

5097355551

File:

Plan Administrator / Signatory:

RANDALL S. FONG, M.D.(Plan administrator)

Plan Year:

2012

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

5097355551

File:

Plan Administrator / Signatory:

RANDALL S. FONG, M.D.(Plan administrator)

Plan Year:

2010

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

5097355551

File:

Plan Administrator / Signatory:

RANDALL S. FONG, M.D.(Plan administrator)

Plan Year:

2009

Number Of Participants:

0

Plan Name:

401(K)

Sponsor's telephone number:

5097355551

File:

Plan Administrator / Signatory:

MICHAEL ATCHISON(Plan administrator)

See something incorrect or outdated? Let us know