SOUND INTERVENTIONAL PAIN MANAGEMENT, PLLC

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Company Details

Legal Name:	SOUND INTERVENTIONAL PAIN MANAGEMENT, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	November 29th 2011
Date of Dissolution:	April 3rd 2020
Expiration date:	30 Nov 2019
UBI Number:	603 161 782
ZIP code:	98006
City:	Bellevue
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	5000 HIGHLAND DR, BELLEVUE, WA, 98006-3441, UNITED STATES
Principal Office Mailing Address:	PO BOX 2078, AUBURN, WA, 98071-2078, UNITED STATES

Contact Details

E-Mail:

MICHELLE@GSULTANAMD.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SOUND INTERVENTIONAL PAIN MANAGEMENT, PLLC	Registered Agent	5000 HIGHLAND DR, BELLEVUE, WA, 98006-3441, UNITED STATES

Key Officers & Management

Name	Role	Address
GEOFFREY SULTANA	Governing Person	5000 HIGHLAND DRIVE, BELLEVUE, WA, 98006, UNITED STATES
MICHELLE FITZPATRICK	Governing Person	616 WOODLAND WAY, KENT, WA, 98030, UNITED STATES

National Provider Identifier

NPI Number:

1548520489

Link:

View on NPI website

Authorized Person:

Name:

GEOFFREY E SULTANA

Role:

BILLING MANAGER

Phone:

2532935453

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 253-293-5453

Phone:

+1 253-223-0515

Form 5500 Series

Employer Identification Number (EIN):

453945097

Plan Year:

2017

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2063954422

File:

Plan Administrator / Signatory:

JASON ATTAMAN(Plan administrator)

Plan Year:

2016

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2532935453

File:

Plan Administrator / Signatory:

MICHELLE FITZPATRICK(Plan administrator)

Plan Year:

2015

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2532935453

File:

Plan Administrator / Signatory:

MICHELLE FITZPATRICK(Plan administrator) MICHELLE FITZPATRICK(Employer/plan sponsor)

Plan Year:

2014

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2532935453

File:

Plan Administrator / Signatory:

MICHELLE FITZPATRICK(Plan administrator) MICHELLE FITZPATRICK(Employer/plan sponsor)

Labor Condition Applications

Case Number:

I-200-14072-767121

Program:

H-1B

Job Title:

INTAKE SCREENER

SOC (ONET/OES) code:

21-1023

SOC (ONET/OES) occupation title:

Mental Health and Substance Abuse Social Workers

Begin Date:

2014-04-16

End Date:

2015-04-16

Employment and Wage Information

Address:

AUBURN, WA

Wage Rate Paid to Nonimmigrant Workers:

$15.32

Per:

Hour

Prevailing Wage Rate:

$14.79

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