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NORTHWEST UROLOGY CENTER, P.S.

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Company Details

Legal Name: NORTHWEST UROLOGY CENTER, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: December 24th 1979
Date of Dissolution: April 1st 2011
Expiration date: 31 Dec 2010
UBI Number: 600 350 465

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Registered Agent Information

Name Role Address
ROBERT O MODARELLI Registered Agent 1231 N SUNSET DR, TACOMA, WA, 98406, UNITED STATES

Key Officers & Management

Name Role
ROBERT MODARELLI Governing Person

National Provider Identifier

NPI Number:
1790846509
Link:
View on NPI website

Authorized Person:

Name:
ALIA D MODARELLI
Role:
OFFICE ADMINISTRATOR
Phone:
2532728441

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Phone:
+1 253-272-8441
Fax:
2532728096

Form 5500 Series

Employer Identification Number (EIN):
911090571
Plan Year:
2010
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
2534601357
File:
View File
Plan Administrator / Signatory:
KEVIN BOERCKER(Plan administrator)
Plan Year:
2010
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's telephone number:
2534601357
File:
View File
Plan Administrator / Signatory:
KEVIN BOERCKER(Plan administrator)
Plan Year:
2009
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
2534601357
File:
View File
Plan Administrator / Signatory:
ROBERT O MODARELLI(Plan administrator) ROBERT O MODARELLI(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
2534601357
Plan Administrator / Signatory:
ROBERT O MODARELLI(Plan administrator) ROBERT O MODARELLI(Employer/plan sponsor)
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