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TRICITIES NEPHROLOGY, LLC

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Company Details

Legal Name: TRICITIES NEPHROLOGY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 21st 2009
Date of Dissolution: May 16th 2014
Expiration date: 30 Sep 2014
UBI Number: 602 956 271
ZIP code: 99352
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 888 SWIFT BLVD, RICHLAND, WA, 99352, UNITED STATES

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Registered Agent Information

Name Role Address
KENNETH A MILLER Registered Agent 1020 N CTR PKWY #B, KENNEWICK, WA, 99336, UNITED STATES

Key Officers & Management

Name Role Address
FADI AKOUM Governing Person 888 SWIFT BLVD, RICHLAND, WA, 99352, UNITED STATES
* KADLEC HEALTH SYSTEM Governing Person 888 SWIFT BLVD, RICHLAND, WA, 99352, UNITED STATES
RAND WORTMAN Governing Person 888 SWIFT BLVD, RICHLAND, WA, 99352, UNITED STATES
AL WICHTENDAHL Governing Person 888 SWIFT BLVD, RICHLAND, WA, 99352, UNITED STATES
WASSIM KHAWANDI MD Governing Person 888 SWIFT BLVD, RICHLAND, WA, 99352, UNITED STATES

National Provider Identifier

NPI Number:
1205165602

Authorized Person:

Name:
RAND WORTMAN
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
5099435922

Labor Condition Applications

Case Number:
I-200-11026-647962
Program:
H-1B
Job Title:
NEPHROLOGIST
SOC (ONET/OES) code:
29-1069.99
SOC (ONET/OES) occupation title:
Physicians and Surgeons, All Other
Begin Date:
2011-02-07
End Date:
2014-02-06

Employment and Wage Information

Address:
HERMISTON, WA
Wage Rate Paid to Nonimmigrant Workers:
$300,000
Per:
Year
Prevailing Wage Rate:
$238,797
Case Number:
I-200-11025-552723
Program:
H-1B
Job Title:
NEPHROLOGIST
SOC (ONET/OES) code:
29-1062.00
SOC (ONET/OES) occupation title:
Family and General Practitioners
Begin Date:
2011-02-07
End Date:
2014-02-06

Employment and Wage Information

Address:
HERMISTON, OR
Wage Rate Paid to Nonimmigrant Workers:
$300,000
Per:
Year
Prevailing Wage Rate:
$182,270
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