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RENTON SPINE AND SPORTS MEDICINE PLLC

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Company Details

Legal Name: RENTON SPINE AND SPORTS MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 6th 2018
Expiration date: 31 Jul 2026
UBI Number: 604 307 891
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1000 OAKESDALE AVE SW, SUITE 100, RENTON, WA, 98057, UNITED STATES

Contact Details

E-Mail: KOSBORNE@COASTINJURY.NET
Phone Number: +1 425-773-9586

Nature of Business

Health Care, Social Assistance & Service Organization, MEDICAL-PAIN MANAGEMENT

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Registered Agent Information

Name Role Address
KYLE OSBORNE Registered Agent 1000 OAKESDALE AVE SW STE 100, RENTON, WA, 98057-5202, UNITED STATES

Key Officers & Management

Name Role Address
KYLE OSBORNE Governing Person -
KYLE OSBORNE EXECUTOR 15930 63RD DR SE, SNOHOMISH, WA, 98296-8793, UNITED STATES

National Provider Identifier

NPI Number:
1407324304

Authorized Person:

Name:
KYLE OSBORNE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
830730975
Plan Year:
2024
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
RACHEL JAGER(Plan administrator)
Plan Year:
2023
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JULIA TAYLOR(Plan administrator)
Plan Year:
2022
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JULIA TAYLOR(Plan administrator)

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$160,500
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$160,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$162,628.27
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $160,500
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