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THE RETINA SURGERY CENTER, LLC

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Company Details

Legal Name: THE RETINA SURGERY CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 4th 2020
Expiration date: 30 Nov 2025
UBI Number: 604 674 412
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1750 112TH AVE NE STE D050, BELLEVUE, WA, 98004-3779, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 22232 17TH AVE SE STE 308, BOTHELL, WA, 98021-7425, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

"OWN AND OPERATE AN AMBULATORY SURGERY CENTER, AND ALL ACTIVITIES NECESSARY, INCIDENTAL OR RELATED THERETO."

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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
PACIFIC NORTHWEST RETINA, PLLC Governing Person -
LEAH CUADRA, DLA PIPER LLP EXECUTOR 200 S BISCAYNE BLVD STE 2500, MIAMI, FL, 33131-5340, UNITED STATES

National Provider Identifier

NPI Number:
1457670648
Certification Date:
2023-08-21

Authorized Person:

Name:
DR. DAVID SAPERSTEIN
Role:
MD
Phone:

Taxonomy:

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

Contacts:

Fax:
2062153870
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