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PHYSICIANS ANESTHESIA SERVICE, PLLC

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Company Details

Legal Name: PHYSICIANS ANESTHESIA SERVICE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 10th 1972
Expiration date: 31 Oct 2025
UBI Number: 600 084 653
ZIP code: 98122
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 600 BROADWAY STE 270, SEATTLE, WA, 98122-5392, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $354,349

Contact Details

E-Mail: ANNUALREPORTS@CSCGLOBAL.COM

Nature of Business

HEALTHCARE SERVICES

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role
DR. DOUG MORGAN Governing Person

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
GRACE HILTON
Last Update Date:
2025-02-10
Naics Primary:
621111

Self-Certification:

For Profit Organization

Unique Entity ID

Unique Entity ID:
WQYMURMG8ZC7
CAGE Code:
0RQQ8
UEI Expiration Date:
2026-01-31

Business Information

Activation Date:
2025-02-06
Initial Registration Date:
2025-01-31

National Provider Identifier

NPI Number:
1417962200
Certification Date:
2022-05-12

Authorized Person:

Name:
MS. TERESE PARKER-BLACK
Role:
DIRECTOR OF REVENUE
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
2068292083
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