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PRO SURGERY CENTER, LLC

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Company Details

Legal Name: PRO SURGERY CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: May 26th 2023
Expiration date: 31 May 2026
UBI Number: 605 251 169
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: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

AMBULATORY SURGICAL CENTER

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
MICHAEL MCADAM Governing Person
WILLIAM (BILL) PETHICK Governing Person
LAWRENCE HOLLAND Governing Person
JASON WILCOX Governing Person
ALYSSA BEENE Governing Person
BRIAN SHELTON Governing Person

National Provider Identifier

NPI Number:
1447932769
Certification Date:
2023-08-04
Link:
View on NPI website

Authorized Person:

Name:
ALYSSA BEENE
Role:
CHIEF ADMINISTRATIVE OFFICER
Phone:
4258855566

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 425-885-5566

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4455 148TH AVE NE, BELLEVUE, WA, 98007-3120, UNITED STATES

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