OLYMPIA RADIOLOGISTS, P.S.

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Company Details

Legal Name:	OLYMPIA RADIOLOGISTS, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	March 7th 1997
Date of Dissolution:	December 31st 2018
Expiration date:	31 Mar 2019
UBI Number:	601 774 732
ZIP code:	98503
City:	Lacey
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	4520 INTELCO LP SE, BUILDING 4E, LACEY, WA, 98503, UNITED STATES
Principal Office Mailing Address:	PO BOX 1879, OLYMPIA, WA, 98507-1879, UNITED STATES

Contact Details

E-Mail:	OLYRAD@CCO.NET
Phone Number:	+1 360-570-3008

Nature of Business

Administration & Business Support Services, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
THOMAS F PLUMLEY	Registered Agent	4520 INTELCO LOOP SE STE 4E, LACEY, WA, 98503-6012, UNITED STATES

Key Officers & Management

Name	Role	Address
DONALD KLEIN	Governing Person	4520 INTELCO LP SE, BUILDING 4, SUITE E, LACEY, WA, 98503, UNITED STATES
THOMAS PLUMLEY	Governing Person	4520 INTELCO LP SE, BUILDING 4, SUITE E, LACEY, WA, 98503, UNITED STATES

National Provider Identifier

NPI Number:

1356340970

Link:

View on NPI website

Authorized Person:

Name:

JULIE HARRY

Role:

PRACTICE MANAGER

Phone:

3605703008

Taxonomy:

Selected Taxonomy:

2085R0202X - Diagnostic Radiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-570-3008

Fax:

3605703006

Form 5500 Series

Employer Identification Number (EIN):

911777409

Plan Year:

2017

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

3605703008

File:

Plan Year:

2017

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

3605703008

File:

Plan Year:

2016

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

3605703008

File:

Plan Administrator / Signatory:

DONALD R. KLEIN(Plan administrator)

Plan Year:

2015

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

3605703008

File:

Plan Administrator / Signatory:

THOMAS PLUMLEY(Plan administrator)

Plan Year:

2014

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

3605703008

File:

Plan Administrator / Signatory:

THOMAS PLUMLEY(Plan administrator)

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