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PROVASCULAR SURGERY ASSOCIATES, PLLC

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Company Details

Legal Name: PROVASCULAR SURGERY ASSOCIATES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 16th 2009
Date of Dissolution: April 3rd 2023
Expiration date: 30 Nov 2022
UBI Number: 602 970 483
ZIP code: 98042
City: Kent
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 23255 133RD AVE SE, KENT, WA, 98042-3215, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $39,717

Contact Details

E-Mail: DLSU99@GMAIL.COM
Phone Number: +1 646-525-5571

Nature of Business

Health Care, Social Assistance & Service Organization, MEDICAL/SURGICAL PRACTICE

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Registered Agent Information

Name Role Address
DENNIS SU Registered Agent 4300 TALBOT RD S STE 101, RENTON, WA, 98055-6238, UNITED STATES

Key Officers & Management

Name Role Address
DENNIS SU Governing Person 117 15TH AVE SE, PUYALLUP, WA, 98372, UNITED STATES

National Provider Identifier

NPI Number:
1174851810

Authorized Person:

Name:
DENNIS L SU
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4257936045

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$38,462
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,462
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$38,923.74
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $30,770
Utilities: $200
Mortgage Interest: $863
Rent: $4,025
Healthcare: $2604
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