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NORTHWEST MEDICAL DIAGNOSTIC LABORATORY LLC

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Company Details

Legal Name: NORTHWEST MEDICAL DIAGNOSTIC LABORATORY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 20th 2015
Date of Dissolution: June 3rd 2019
Expiration date: 31 Jan 2019
UBI Number: 603 469 917
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 720 14TH AVE, LONGVIEW, WA, 98632, UNITED STATES

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Registered Agent Information

Name Role Address
CARL LIAN Registered Agent 111 STONEWAY LN, LONGVIEW, WA, 98632-5191, UNITED STATES

Key Officers & Management

Name Role
CARL LIAN Governing Person

National Provider Identifier

NPI Number:
1457739559

Authorized Person:

Name:
CARL JEROME LIAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
3604424130
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