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PRO MEDICAL, PC

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Company Details

Legal Name: PRO MEDICAL, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 13th 2018
Expiration date: 30 Jun 2026
UBI Number: 604 300 079
ZIP code: 98007
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4455 148TH AVE NE, BELLEVUE, WA, 98007-3120, UNITED STATES

Contact Details

E-Mail: JCRANE@PROCLUB.COM
DEBBIEBECKER@PROCLUB.COM
Phone Number: +1 425-861-6262
+1 425-861-6273

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DEBORAH BECKER Registered Agent 4455 148TH AVE NE, BELLEVUE, WA, 98007-3120, UNITED STATES

Key Officers & Management

Name Role Address
JUDITH A. CRANE Governing Person -
CHRISTOPHER J FERRELL INCORPORATOR 701 5TH AVE STE 4400, SEATTLE, WA, 98104-7031, UNITED STATES

National Provider Identifier

NPI Number:
1215701404
Certification Date:
2023-11-17

Authorized Person:

Name:
MARK DEDOMENICO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

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