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OVERLAKE AMBULATORY SURGERY CENTER, L.L.C.

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Company Details

Legal Name: OVERLAKE AMBULATORY SURGERY CENTER, L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 4th 1998
Expiration date: 30 Jun 2026
UBI Number: 601 880 460
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1135 116TH AVE NE STE 300, BELLEVUE, WA, 98004-4637, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $36,770

Contact Details

E-Mail: CORPORATE@OMWLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
OMW R.A. SERVICES, LLC Registered Agent

Key Officers & Management

Name Role
JASON ATTAMAN Governing Person
JONATHAN DUARTE Governing Person
CHRISSY YAMADA Governing Person

National Provider Identifier

NPI Number:
1528145778

Authorized Person:

Name:
WENDY J TAYLOR
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4257092323

Form 5500 Series

Employer Identification Number (EIN):
911925618
Plan Year:
2023
Number Of Participants:
36
Sponsor's DBA Name:
DBA OVERLAKE SURGERY CENTER
Sponsor's telephone number:
Plan Administrator / Signatory:
HAILEY LONDO(Plan administrator)
Plan Year:
2022
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's DBA Name:
D/B/A OVERLAKE SURGERY CENTER
Sponsor's telephone number:
Plan Administrator / Signatory:
HAILEY LONDO(Plan administrator) SHARI EINFALT(Employer/plan sponsor)
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