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SPOKANE LABORATORY, LLC

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Company Details

Legal Name: SPOKANE LABORATORY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 16th 2015
Date of Dissolution: February 3rd 2018
Expiration date: 30 Sep 2017
UBI Number: 603 542 622
ZIP code: 99202
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 611 E 2ND AVE #B, SPOKANE, WA, 99202, UNITED STATES

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Registered Agent Information

Name Role Address
KIMBERLY A STANKOVICH Registered Agent 611 E 2ND AVE #B, SPOKANE, WA, 99202-0000, UNITED STATES

Key Officers & Management

Name Role Address
RANDALL RIGGS Governing Person 1314 S GRAND BLVD, SPOKANE, WA, 99202-1174, UNITED STATES
KIMBERLY STANKOVICH Governing Person 125 W KNOX AVE, SPOKANE, WA, 99205-4833, UNITED STATES

National Provider Identifier

NPI Number:
1508310020

Authorized Person:

Name:
DR. RANDALL S. RIGGS
Role:
MEMBER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
5095340288
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