SPOKANE CARDIOLOGY, P.S.

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Company Details

Legal Name:	SPOKANE CARDIOLOGY, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	October 14th 1969
Date of Dissolution:	March 3rd 2016
Expiration date:	31 Oct 2016
UBI Number:	600 002 350

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Registered Agent Information

Name	Role	Address
ELEVEN FOURTEEN INC	Registered Agent	422 W RIVERSIDE AVE #1100, SPOKANE, WA, 99201, UNITED STATES

Key Officers & Management

Name	Role	Address
PIERRE LEIMGRUBER	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
GUY KATZ	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
JOHN PETERSON	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
BRADEN BATKOFF	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
DIETER LUBBE	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
SUSAN ALEXANDER	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
BRYAN FUHS	Governing Person	122 W 7TH AVE , SUITE 450`, SPOKANE, WA, 99204, UNITED STATES
PHILIP HUBER	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
JANICE CHRISTENSEN	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES
MICHAEL KWASMAN	Governing Person	122 W 7TH AVE , SUITE 450, SPOKANE, WA, 99204, UNITED STATES

National Provider Identifier

NPI Number:

1639116452

Link:

View on NPI website

Authorized Person:

Name:

CAROLYN WICKS

Role:

COO

Phone:

5094558820

Taxonomy:

Selected Taxonomy:

207RC0000X - Cardiovascular Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-455-8820

Fax:

5098384978

Form 5500 Series

Employer Identification Number (EIN):

910849950

Plan Year:

2012

Number Of Participants:

Sponsor's telephone number:

5094558820

File:

View File

Plan Administrator / Signatory:

BRYAN FUHS(Plan administrator)

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