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NORTH PUGET SOUND CENTER FOR SLEEP DISORDERS, LLC

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Company Details

Legal Name: NORTH PUGET SOUND CENTER FOR SLEEP DISORDERS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: April 9th 2004
Date of Dissolution: March 30th 2020
Expiration date: 30 Apr 2020
UBI Number: 602 385 287
Home State: COLORADO
Principal Office Street Address: Google Maps Logo JLD/SECGOVFIN 2000 16TH STREET, DENVER, CO, 80202, UNITED STATES
Principal Office Mailing Address: Google Maps Logo JLD/SECGOVFIN 601 HAWAII STREET, EL SEGUNDO, CA, 90245, UNITED STATES

Contact Details

E-Mail: ANNUALREPORTS@CSCGLOBAL.COM

Nature of Business

OPERATE OUTPATIENT SLEEP DISORDER MEDICINE FACILITIES AND EQUIPMENT FOR THE PROVISION OF SLEEP DISORDER SERVICES

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S, SUITE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
SRIDAR CHALAKA, M.D. Governing Person -
TOMASZ ZIEDALSKI, M.D. Governing Person -
DAVID RUSSIAN, M.D. Governing Person -
RONALD J GREEN, M.D. Governing Person -
KIMBERLY HOLSTEIN Governing Person -
JOHN NEWTON Governing Person -
G FERGUSON EXECUTOR 2707 COLBY AVE STE 1001, P O BOX 5397, EVERETT, WA, 98206, UNITED STATES

National Provider Identifier

NPI Number:
1679720932

Authorized Person:

Name:
LISA JO GREENSHIELDS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
4252526642
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