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NORTH STAR MEDICAL IMAGING, PLLC

Headquarter
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Company Details

Legal Name: NORTH STAR MEDICAL IMAGING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 8th 2008
Expiration date: 30 Apr 2026
UBI Number: 602 821 197
ZIP code: 98273
City: Mount Vernon
County: SKAGIT
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 125 N 18TH ST, STE C, MOUNT VERNON, WA, 98273-3902, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $56,329

Contact Details

E-Mail: ACCOUNTING@SKAGITRADIOLOGY.COM
Phone Number: +1 360-428-7245

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
SKAGIT RADIOLOGY, INC. P.S. Registered Agent

Key Officers & Management

Name Role Address
SKAGIT RADIOLOGY, INC , PS Governing Person -
TINA CHAMBERLAIN Governing Person 125 N 18TH ST, MOUNT VERNON WA 98273, MOUNT VERNON, WA, 98273-3902, UNITED STATES

Links between entities

Type:
Headquarter of
Company Number:
115838
State:
ALASKA

Unique Entity ID

Unique Entity ID:
U1N1FPLM6AY6
CAGE Code:
8THT1
UEI Expiration Date:
2026-05-28

Business Information

Division Name:
SKAGIT RADIOLOGY
Division Number:
SKAGIT RAD
Activation Date:
2025-05-30
Initial Registration Date:
2020-12-21

National Provider Identifier

NPI Number:
1144489824

Authorized Person:

Name:
MR. MATTHEW DESROSIERS
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
3608481167
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