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PENINSULA IMAGING, PLLC

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Company Details

Legal Name: PENINSULA IMAGING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 19th 2005
Date of Dissolution: May 1st 2013
Expiration date: 31 Jan 2013
UBI Number: 602 464 747
ZIP code: 98362
City: Port Angeles
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 7825 S MT ANGELES RD, PORT ANGELES, WA, 98362, UNITED STATES

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Registered Agent Information

Name Role Address
MICHEL S FISHMAN Registered Agent 7825 S MT ANGELES RD, PORT ANGELES, WA, 98362, UNITED STATES

Key Officers & Management

Name Role Address
MICHAEL FISHMAN Governing Person -
MICHEL S FISHMAN EXECUTOR 7825 S MT ANGELES RD, PORT ANGELES, WA, 98362, UNITED STATES

National Provider Identifier

NPI Number:
1558436451

Authorized Person:

Name:
DR. MICHAEL SCOT FISHMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3605820172
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