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PUGET SOUND ANESTHESIA SERVICE, PLLC

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Company Details

Legal Name: PUGET SOUND ANESTHESIA SERVICE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 1st 2008
Date of Dissolution: June 3rd 2024
Expiration date: 31 Jan 2024
UBI Number: 602 787 712
ZIP code: 98290
City: Snohomish
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2029 161ST AVENUE NE, SNOHOMISH, WA, 98290, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2029 161ST AVE NE, SNOHOMISH, WA, 98290-7771, UNITED STATES

Contact Details

E-Mail: KROLL.ELLEN@GMAIL.COM
Phone Number: +1 425-348-1070

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JAMES KROLL Registered Agent 2029 161ST AVENUE NE, SNOHOMISH, WA, 98290-7771, UNITED STATES

Key Officers & Management

Name Role Address
JAMES KROLL Governing Person 2029 161ST AVENUE NE, SNOHOMISH, WA, 98290, UNITED STATES

National Provider Identifier

NPI Number:
1144408915

Authorized Person:

Name:
MR. JAMES A KROLL
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

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