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PACIFIC MEDICAL DIALYSIS SERVICES, LLC

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Company Details

Legal Name: PACIFIC MEDICAL DIALYSIS SERVICES, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 14th 2022
Expiration date: 31 Jul 2026
UBI Number: 604 942 056
ZIP code: 98402
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 917 PACIFIC AVE STE 600,100, SUITE 600,100, TACOMA, WA, 98402-4437, UNITED STATES

Contact Details

E-Mail: WAYNE@PACMSG.COM
Phone Number: +1 253-844-4327

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
PACIFIC MEDICAL SPECIALTY GROUP, LLC Registered Agent

Key Officers & Management

Name Role Address
WAYNE MANNIE Executor 1117 W YOUNG ST, ELMA, WA, 98541-9090, UNITED STATES
CHARLES MINN Governing Person -
BRENDA EVANS Governing Person -
PACIFIC MEDICAL SPECIALTY GROUP, LLC Governing Person -
STAN FLEMMING Governing Person -
WAYNE MANNIE Governing Person -

National Provider Identifier

NPI Number:
1285406249
Certification Date:
2023-11-10

Authorized Person:

Name:
CHARLES MINN
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
163WD1100X - Peritoneal Dialysis Registered Nurse
Is Primary:
No
Selected Taxonomy:
163WH0500X - Hemodialysis Registered Nurse
Is Primary:
No
Selected Taxonomy:
2472R0900X - Renal Dialysis Technician
Is Primary:
No
Selected Taxonomy:
332BD1200X - Dialysis Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

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