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PEDIATRIC INFUSION SERVICES LLC

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Company Details

Legal Name: PEDIATRIC INFUSION SERVICES LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: September 4th 2015
Date of Dissolution: February 3rd 2024
Expiration date: 30 Sep 2023
UBI Number: 603 538 944
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1004 E MAIN STE D, PUYALLUP, WA, 98372-3199, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1643 BROWNS POINT BLVD, TACOMA, WA, 98422-2308, UNITED STATES

Contact Details

E-Mail: HDELLIOTT@GMAIL.COM
Phone Number: +1 253-202-3495

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
HEIDI ELLIOTT Registered Agent 1643 BROWNS POINT BLVD, TACOMA, WA, 98422-2308, UNITED STATES

Key Officers & Management

Name Role
HEIDI ELLIOTT Governing Person

National Provider Identifier

NPI Number:
1215528625
Certification Date:
2022-12-27

Authorized Person:

Name:
HEIDI D ELLIOTT
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163WI0500X - Infusion Therapy Registered Nurse
Is Primary:
No
Selected Taxonomy:
2080P0206X - Pediatric Gastroenterology Physician
Is Primary:
No
Selected Taxonomy:
261QI0500X - Infusion Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2539441320
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