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SWEDISH RADIA IMAGING CENTER AT EDMONDS LLC

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Company Details

Legal Name: SWEDISH RADIA IMAGING CENTER AT EDMONDS LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 12th 2005
Expiration date: 31 Aug 2026
UBI Number: 602 530 171
ZIP code: 98026
City: Edmonds
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21700 HIGHWAY 99, EDMONDS, WA, 98026-8034, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 19020 33RD AVE W, SUITE 210, LYNNWOOD, WA, 98036-4748, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $99,564

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM
Phone Number: +1 877-888-1245

Nature of Business

HEALTH CARE, SOCIAL ASSISTANCE & SERVICE ORGANIZATION

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
MAURICE SANTILLANES Governing Person -
LORI WISE Governing Person -
LLOYD STAMBAUGH, MD Governing Person -
CHRIS BEAUDOIN Governing Person -
BART P KEOGH, MD, PHD Governing Person -
BRIAN MCCALLIE, MD Governing Person -
ELLEN WOODWARD EXECUTOR 728 134TH ST SW STE 120, EVERETT, WA, 98204, UNITED STATES

National Provider Identifier

NPI Number:
1164494373

Authorized Person:

Name:
LLOYD STAMBAUGH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
4255631501
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