SEATTLE NEPHROLOGY, PLLC

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Company Details

Legal Name:	SEATTLE NEPHROLOGY, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	May 7th 2008
Expiration date:	31 May 2026
UBI Number:	602 830 330
ZIP code:	98133
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1130 N 185TH ST, SUITE 201, SHORELINE, WA, 98133-4011, UNITED STATES
Principal Office Mailing Address:	1130 N 185TH ST, SUITE 201, SHORELINE, WA, 98133, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$59,894

Contact Details

E-Mail:	KRIS@SEATTLENEPHROLOGY.COM
Phone Number:	+1 206-542-1000

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
KRIS LITTLE	Registered Agent	1130 N 185TH ST STE 201, SHORELINE, WA, 98133-4011, UNITED STATES

Key Officers & Management

Name	Role	Address
JUNG JOH	EXECUTOR	2609 79TH AVE, MEDINA, WA, 98039, UNITED STATES
JUNG JOH	Governing Person	-
JOO HEE KIM	Governing Person	-
JOO HEE KIM	EXECUTOR	2609 79TH AVE, MEDINA, WA, 98039, UNITED STATES

National Provider Identifier

NPI Number:

1306055926

Certification Date:

2024-07-09

Link:

View on NPI website

Authorized Person:

Name:

DR. JUNG H JOH

Role:

MEMBER

Phone:

2065421000

Taxonomy:

Selected Taxonomy:

207RN0300X - Nephrology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 206-542-1000

Fax:

2065425353

Form 5500 Series

Employer Identification Number (EIN):

912161202

Plan Year:

2010

Number Of Participants:

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2063675252

File:

View File

Plan Administrator / Signatory:

JUNG H. JOH, M.D.(Plan administrator)

Plan Year:

2009

Number Of Participants:

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

2063675252

File:

View File

Plan Administrator / Signatory:

JUNG H. JOH(Plan administrator)

OSHA's Inspections within Industry

Inspection Summary

Date:

2012-09-04

Type:

Referral

Address:

1130 N 185TH ST STE 201, SHORELINE, WA, 98133

Safety Health:

Health

Scope:

Partial

Inspection Link:

View Inspection data on OSHA website

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$105,500

Date Approved:

2020-04-12

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$105,500

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$106,612.81

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $105,500

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