ROBERT G. R. LANG, M.D., INC., P.S.

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Company Details

Legal Name:	ROBERT G. R. LANG, M.D., INC., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	June 1st 1982
Date of Dissolution:	November 3rd 2023
Expiration date:	30 Jun 2023
UBI Number:	600 442 001
ZIP code:	98506
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	3525 ENSIGN RD NE STE J, OLYMPIA, WA, 98506-5065, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$171,192

Contact Details

E-Mail:	JERRICA@OLYMPIANEURO.COM
Phone Number:	+1 360-491-0459

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
ROBERT G R LANG	Registered Agent	3525 ENSIGN RD NE STE J, OLYMPIA, WA, 98506-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
ROBERT LANG MD	Governing Person	9833 NE JOHNSON POINT LOOP, OLYMPIA, WA, 98506, UNITED STATES

National Provider Identifier

NPI Number:

1316315930

Link:

View on NPI website

Authorized Person:

Name:

ROBERT GR LANG

Role:

PRESIDENT

Phone:

3604910459

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-491-0459

Fax:

3604915370

Form 5500 Series

Employer Identification Number (EIN):

911175715

Plan Year:

2023

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3604910459

File:

Plan Year:

2022

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3604910459

File:

Plan Year:

2021

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3604910459

File:

Plan Year:

2020

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3604910459

File:

Plan Year:

2019

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3604910459

File:

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$162,440

Date Approved:

2021-01-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$162,440

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$163,441.71

Servicing Lender:

1st Security Bank of Washington

Use of Proceeds:

Payroll: $162,438
Utilities: $1

Jobs Reported:

17

Initial Approval Amount:

$131,800

Date Approved:

2020-04-09

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$131,800

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$133,359.63

Servicing Lender:

1st Security Bank of Washington

Use of Proceeds:

Payroll: $131,800

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