UROLOGIC CONSULTANTS PLLC

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Company Details

Legal Name:	UROLOGIC CONSULTANTS PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	May 30th 1995
Date of Dissolution:	February 28th 2017
Expiration date:	31 May 2017
UBI Number:	601 633 492
ZIP code:	98372
City:	Puyallup
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	1519 3RD ST SE STE 210, PUYALLUP, WA, 98372, UNITED STATES

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Registered Agent Information

Name	Role	Address
DANENE HONEMANN	Registered Agent	1519 3RD ST SE #210, PUYALLUP, WA, 98372-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
C KIM MD	Governing Person	1519 THIRD ST SE # 210, PUYALLUP, WA, 98372, UNITED STATES
DOUGLAS KING	Governing Person	1519 3RD ST SE SUITE 210, PUYALLUP, WA, 98372, UNITED STATES
CHRISTOPHER PETTY	Governing Person	1519 3RD ST SE SUITE 210, PUYALLUP, WA, 98372, UNITED STATES
GREGORY LAMBERTON	Governing Person	1519 THIRD ST SE # 210, PUYALLUP, WA, 98372, UNITED STATES
KENNETH FEUCHT	Governing Person	1519 THIRD ST SE # 210, PUYALLUP, WA, 98372, UNITED STATES
ROBIN LEE	Governing Person	1519 3RD ST SE SUITE 210, PUYALLUP, WA, 98372, UNITED STATES
ROBERT MARSH	Governing Person	1519 3RD ST SE SUITE 210, PUYALLUP, WA, 98372, UNITED STATES

National Provider Identifier

NPI Number:

1922112234

Link:

View on NPI website

Authorized Person:

Name:

MS. BARBARA L LUDTKE

Role:

BILLING SUPERVISOR

Phone:

2534451844

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 253-445-1844

Form 5500 Series

Employer Identification Number (EIN):

911683971

Plan Year:

2016

Number Of Participants:

19

Plan Name:

401(K)

Sponsor's telephone number:

2538404994

File:

Plan Administrator / Signatory:

DOUGLAS R. KING(Plan administrator)

Plan Year:

2015

Number Of Participants:

39

Plan Name:

401(K)

Sponsor's telephone number:

2538404994

File:

Plan Administrator / Signatory:

DOUGLAS R. KING(Plan administrator)

Plan Year:

2014

Number Of Participants:

41

Plan Name:

401(K)

Sponsor's telephone number:

2538404994

Plan Administrator / Signatory:

DOUGLAS R. KING(Plan administrator)

Plan Year:

2014

Number Of Participants:

41

Plan Name:

401(K)

Sponsor's telephone number:

2538404994

File:

Plan Administrator / Signatory:

DOUGLAS R. KING(Plan administrator)

Plan Year:

2013

Number Of Participants:

39

Plan Name:

401(K)

Sponsor's telephone number:

2538404994

File:

Plan Administrator / Signatory:

GREGORY LAMBERTON MD(Plan administrator)

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