SEATTLE UROLOGICAL ASSOCIATES, PLLC

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Company Details

Legal Name:	SEATTLE UROLOGICAL ASSOCIATES, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	December 27th 2002
Date of Dissolution:	April 1st 2014
Expiration date:	31 Dec 2013
UBI Number:	602 259 120

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Registered Agent Information

Name	Role	Address
JOHN S MULLEN MD	Registered Agent	1221 MADISON ST STE 1210, SEATTLE, WA, 98104, UNITED STATES

Key Officers & Management

Name	Role
JAMES GASOARICH	Governing Person
JOHN MULLEN	Governing Person
STEVEN HAN	Governing Person
JOEL LILLY	Governing Person

National Provider Identifier

NPI Number:

1184865198

Link:

View on NPI website

Authorized Person:

Name:

DR. NANCE QUIMOSING

Role:

MEDICAL ADMINISTRATOR

Phone:

2062926488

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 206-292-6488

Fax:

2066232436

Form 5500 Series

Employer Identification Number (EIN):

911142833

Plan Year:

2014

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

2066832089

File:

Plan Administrator / Signatory:

JOHN MULLEN(Plan administrator)

Plan Year:

2013

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

2062926488

File:

Plan Administrator / Signatory:

JOHN MULLEN(Plan administrator)

Plan Year:

2012

Number Of Participants:

19

Plan Name:

401(K)

Sponsor's telephone number:

2062926488

File:

Plan Administrator / Signatory:

JOHN MULLEN(Plan administrator)

Plan Year:

2011

Number Of Participants:

22

Plan Name:

401(K)

Sponsor's telephone number:

2062926488

File:

Plan Administrator / Signatory:

JOHN S. MULLEN(Plan administrator)

Plan Year:

2010

Number Of Participants:

19

Plan Name:

401(K)

Sponsor's telephone number:

2062926488

File:

Plan Administrator / Signatory:

JOHN S. MULLEN(Plan administrator) JOHN S. MULLEN(Employer/plan sponsor)

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