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THE POLYCLINIC, PLLC

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Company Details

Legal Name: THE POLYCLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 20th 2018
Expiration date: 30 Nov 2025
UBI Number: 178 010 389
ZIP code: 98122
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1145 BROADWAY, SEATTLE, WA, 98122-4201, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

THE COMPANY MAY UNDERTAKE AND CARRY ON ANY LAWFUL ACTIVITY PERMITTED UNDER THE ACT AND APPROVED BY THE BOARD FOR THE PURPOSE OF RENDERING PROFESSIONAL SERVICES BY OR UNDER THE SUPERVISION OF LICENSED PHYSICIANS.

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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
CRAIG PEPIN, M.D. Governing Person

Unique Entity ID

CAGE Code:
1QLQ0
UEI Expiration Date:
2020-08-13

Business Information

Division Name:
THE POLYCLINIC, A PROFESSIONAL CORPORATION, THE
Activation Date:
2019-08-15
Initial Registration Date:
2001-12-11

Commercial and government entity program

CAGE number:
1QLQ0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-26
CAGE Expiration:
2025-08-25
SAM Expiration:
2022-02-21

Contact Information

POC:
KAREN PARRISH

National Provider Identifier

NPI Number:
1982149761

Authorized Person:

Name:
LLOYD DAVID
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2067207447

Court Cases

Filing Date:
2023-02-17
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Civil Rights
Parties:
THE POLYCLINIC, PLLC - Defendant
HIGGINS, LLC - Plaintiff
Filing Date:
2009-10-15
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Americans with Disabilities Act - Employment
Parties:
COBB-COACH - Plaintiff
THE POLYCLINIC, PLLC - Defendant

Labor Condition Applications

Case Number:
I-203-17296-810377
Program:
E-3 Australian
Job Title:
REGISTERED NURSE
SOC (ONET/OES) code:
29-1141
SOC (ONET/OES) occupation title:
REGISTERED NURSES
Begin Date:
2017-11-30
End Date:
2019-11-30

Employment and Wage Information

Address:
SEATTLE, KING, WA, 98104
Wage Rate Paid to Nonimmigrant Workers:
$35.86
Per:
Hour
Prevailing Wage Rate:
$29.46
Case Number:
I-203-15302-571235
Program:
E-3 Australian
Job Title:
REGISTERED NURSE
SOC (ONET/OES) code:
29-1141
SOC (ONET/OES) occupation title:
REGISTERED NURSES
Begin Date:
2015-11-30
End Date:
2017-11-30

Employment and Wage Information

Address:
SEATTLE, KING, WA, 98104
Wage Rate Paid to Nonimmigrant Workers:
$32.01
Per:
Hour
Prevailing Wage Rate:
$30.42
Case Number:
I-203-15299-041486
Program:
E-3 Australian
Job Title:
REGISTERED NURSE
SOC (ONET/OES) code:
29-1141
SOC (ONET/OES) occupation title:
REGISTERED NURSES
Begin Date:
2015-11-30
End Date:
2017-11-30

Employment and Wage Information

Address:
SEATTLE, KING, WA, 98104
Wage Rate Paid to Nonimmigrant Workers:
$28.39
Per:
Hour
Prevailing Wage Rate:
$30.42
Case Number:
I-200-12047-827837
Program:
H-1B
Job Title:
PHYSICIAN, FAMILY MEDICINE
SOC (ONET/OES) code:
29-1062
SOC (ONET/OES) occupation title:
Family and General Practitioners
Begin Date:
2012-03-15
End Date:
2013-12-31

Employment and Wage Information

Address:
SEATTLE, WA
Wage Rate Paid to Nonimmigrant Workers:
$120,000
Per:
Year
Prevailing Wage Rate:
$99,840
Case Number:
I-200-12043-048289
Program:
H-1B
Job Title:
PHYSICIAN, FAMILY MEDICINE
SOC (ONET/OES) code:
29-1062
SOC (ONET/OES) occupation title:
Family and General Practitioners
Begin Date:
2012-03-15
End Date:
2013-12-31

Employment and Wage Information

Address:
SEATTLE, WA
Wage Rate Paid to Nonimmigrant Workers:
$120,000
Per:
Year
Prevailing Wage Rate:
$99,840
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