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SUMMIT URGENT CARE P.S.

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Company Details

Legal Name: SUMMIT URGENT CARE P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 23rd 2015
Date of Dissolution: December 3rd 2020
Expiration date: 31 Jul 2020
UBI Number: 603 526 763
ZIP code: 98006
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3900 FACTORIA BLVD SE STE A, BELLEVUE, WA, 98006, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 827, BELLEVUE, WA, 98009-0827, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,928

Contact Details

E-Mail: ACCOUNTING@SUMMIT.CLINIC

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JACKY HONG Registered Agent 1603 116TH AVE NE, SUITE 115, BELLEVUE, WA, 98004-3009, UNITED STATES

Key Officers & Management

Name Role Address
HYUN HONG Governing Person 4991 160TH CT SE, BELLEVUE, WA, 98006, UNITED STATES
PRAVEEN MAMBALAM Governing Person 16490 SE 46TH CT, BELLEVUE, WA, 98006, UNITED STATES

National Provider Identifier

NPI Number:
1972973105

Authorized Person:

Name:
DR. ANIRBAN DAS
Role:
MEDICAL DIRECTOR/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4259033142
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