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PHYSICIAN DIAGNOSTIC SERVICES, PLLC

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Company Details

Legal Name: PHYSICIAN DIAGNOSTIC SERVICES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 29th 2008
Date of Dissolution: May 1st 2017
Expiration date: 31 Dec 2016
UBI Number: 602 887 850
ZIP code: 99352
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1075 JADWIN AVE, RICHLAND, WA, 99352, UNITED STATES

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Registered Agent Information

Name Role Address
BING R MANAWADU Registered Agent 1075 JADWIN AVE, RICHLAND, WA, 99352-0000, UNITED STATES

Key Officers & Management

Name Role Address
BING MANAWADU Governing Person 1075 JADWIN AVE, RICHLAND, WA, 99352, UNITED STATES
BING MANAWADU EXECUTOR 1075 JADWIN AVE, RICHLAND, WA, 99352, UNITED STATES

National Provider Identifier

NPI Number:
1013113638

Authorized Person:

Name:
BRENDEN MANAWADU
Role:
BOM
Phone:

Taxonomy:

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

Contacts:

Fax:
5099437909
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